| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
995 |
801 |
$82K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
681 |
594 |
$52K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
25 |
25 |
$46K |
| 76801 |
|
353 |
324 |
$36K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
434 |
377 |
$33K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
187 |
187 |
$31K |
| 76818 |
|
238 |
124 |
$23K |
| 76813 |
|
159 |
158 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
160 |
160 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
139 |
123 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
83 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$782.36 |
| 36415 |
Collection of venous blood by venipuncture |
273 |
262 |
$117.72 |