| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,451 |
3,917 |
$447K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,946 |
1,445 |
$236K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,335 |
1,294 |
$209K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,479 |
1,450 |
$166K |
| 76801 |
|
905 |
870 |
$95K |
| 76813 |
|
758 |
745 |
$80K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
700 |
569 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
265 |
231 |
$20K |
| 76820 |
|
359 |
197 |
$13K |
| 76825 |
|
20 |
18 |
$3K |
| 76827 |
|
38 |
30 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$1K |
| 93325 |
|
39 |
31 |
$644.39 |
| 99241 |
|
16 |
15 |
$517.98 |
| 36416 |
|
334 |
325 |
$348.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
54 |
$333.76 |
| 36415 |
Collection of venous blood by venipuncture |
110 |
108 |
$136.43 |
| 99051 |
|
55 |
54 |
$73.80 |
| A4559 |
Coupling gel or paste, for use with ultrasound device, per oz |
581 |
487 |
$31.00 |