| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
681 |
501 |
$42K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
317 |
153 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
129 |
$10K |
| 76830 |
Ultrasound, transvaginal |
123 |
104 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
291 |
234 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
15 |
$774.22 |