| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,699 |
1,535 |
$67K |
| 76818 |
|
646 |
528 |
$36K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
590 |
538 |
$20K |
| 76820 |
|
442 |
358 |
$13K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
193 |
184 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
224 |
221 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
258 |
122 |
$7K |
| 76821 |
|
197 |
149 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
143 |
124 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
126 |
115 |
$4K |
| 59025 |
Fetal non-stress test |
165 |
64 |
$4K |
| 99221 |
|
43 |
41 |
$2K |
| 0502F |
|
43 |
18 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$617.15 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$609.29 |
| 76801 |
|
15 |
15 |
$602.11 |