| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
11,536 |
9,615 |
$377K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,771 |
6,283 |
$260K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,665 |
3,036 |
$212K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,590 |
2,495 |
$186K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,267 |
3,093 |
$123K |
| 76813 |
|
2,486 |
2,435 |
$112K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,299 |
2,751 |
$92K |
| 76801 |
|
2,436 |
2,364 |
$91K |
| 99215 |
Prolong outpt/office vis |
1,070 |
897 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,486 |
1,338 |
$62K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,187 |
1,158 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
803 |
790 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
549 |
477 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
142 |
142 |
$14K |
| 76820 |
|
691 |
453 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
160 |
132 |
$4K |
| 76821 |
|
124 |
77 |
$3K |
| 99201 |
|
12 |
12 |
$414.12 |