| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,131 |
2,565 |
$205K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,850 |
1,806 |
$187K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,225 |
2,311 |
$159K |
| 76820 |
|
5,340 |
4,095 |
$143K |
| 76825 |
|
397 |
378 |
$62K |
| 76821 |
|
1,085 |
886 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
322 |
315 |
$34K |
| 76827 |
|
398 |
380 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
294 |
219 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
160 |
101 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
125 |
$7K |
| 99205 |
Prolong outpt/office vis |
51 |
50 |
$7K |
| 93325 |
|
415 |
391 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
45 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
27 |
$2K |
| 76801 |
|
18 |
16 |
$1K |
| 76813 |
|
13 |
13 |
$726.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$470.61 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
52 |
$139.41 |