| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,631 |
2,597 |
$254K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,612 |
1,320 |
$101K |
| 99242 |
|
1,008 |
1,002 |
$49K |
| 76820 |
|
968 |
748 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
531 |
$25K |
| 99243 |
|
361 |
359 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
197 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
270 |
248 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
207 |
178 |
$10K |
| 76825 |
|
25 |
25 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$682.12 |
| 93325 |
|
12 |
12 |
$178.95 |