| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,327 |
1,254 |
$77K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
449 |
428 |
$40K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
714 |
603 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
462 |
379 |
$29K |
| 59025 |
Fetal non-stress test |
1,125 |
738 |
$17K |
| 76820 |
|
229 |
150 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
152 |
145 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
128 |
114 |
$7K |
| 0502F |
|
92 |
81 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$2K |
| 99242 |
|
27 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
43 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$404.88 |
| 81002 |
|
42 |
38 |
$104.26 |