| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,194 |
1,099 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
911 |
801 |
$41K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
623 |
567 |
$38K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
773 |
703 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
91 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
30 |
30 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
48 |
$4K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$899.21 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
13 |
$680.86 |