| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,549 |
1,854 |
$144K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,234 |
811 |
$61K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
449 |
370 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,146 |
872 |
$33K |
| 59025 |
Fetal non-stress test |
908 |
581 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
301 |
238 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
366 |
311 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
320 |
258 |
$14K |
| 76821 |
|
150 |
89 |
$9K |
| 76820 |
|
168 |
102 |
$7K |
| 76818 |
|
134 |
94 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
31 |
$2K |
| 99242 |
|
33 |
30 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
12 |
$1K |
| 76801 |
|
15 |
15 |
$817.54 |
| 99241 |
|
27 |
20 |
$786.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$632.35 |
| 93325 |
|
12 |
12 |
$85.51 |
| 0502F |
|
15 |
12 |
$0.00 |