| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,799 |
1,737 |
$162K |
| 76825 |
|
831 |
734 |
$147K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,504 |
1,211 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,230 |
1,523 |
$93K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
788 |
735 |
$91K |
| 76820 |
|
2,836 |
1,751 |
$88K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
579 |
538 |
$53K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
954 |
678 |
$53K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
595 |
401 |
$38K |
| 76826 |
|
79 |
70 |
$9K |
| S8301 |
Infection control supplies, not otherwise specified |
2,519 |
1,802 |
$9K |
| 99215 |
Prolong outpt/office vis |
49 |
35 |
$3K |