| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,953 |
2,688 |
$150K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,678 |
4,098 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,399 |
1,004 |
$62K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,576 |
2,204 |
$52K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,372 |
1,233 |
$46K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,283 |
1,199 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,368 |
1,031 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
212 |
$22K |
| 76801 |
|
613 |
564 |
$20K |
| 76818 |
|
505 |
367 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
434 |
323 |
$14K |
| 59025 |
Fetal non-stress test |
650 |
432 |
$9K |
| 76813 |
|
245 |
238 |
$7K |
| 0502F |
|
119 |
72 |
$5K |
| 76820 |
|
92 |
64 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
79 |
77 |
$3K |
| 99241 |
|
54 |
52 |
$2K |
| 99243 |
|
17 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$1K |
| 81003 |
|
133 |
90 |
$287.76 |