| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,224 |
3,767 |
$137K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,153 |
2,405 |
$93K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
829 |
805 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,534 |
1,359 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
549 |
471 |
$32K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,072 |
968 |
$30K |
| 76813 |
|
436 |
436 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
490 |
486 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
220 |
219 |
$14K |
| 76801 |
|
263 |
259 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
371 |
270 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
42 |
$4K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
52 |
$1K |