| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,811 |
1,581 |
$96K |
| 76818 |
|
1,266 |
838 |
$71K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
790 |
589 |
$42K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
537 |
414 |
$39K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
793 |
684 |
$37K |
| 76820 |
|
515 |
393 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
316 |
280 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
285 |
119 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
75 |
67 |
$10K |
| 76821 |
|
185 |
134 |
$8K |
| 59025 |
Fetal non-stress test |
313 |
141 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
58 |
26 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73 |
60 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
62 |
59 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
53 |
$3K |
| 76801 |
|
43 |
33 |
$2K |
| 0502F |
|
27 |
13 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
33 |
26 |
$865.26 |