| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
392 |
371 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
114 |
$12K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
183 |
173 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
276 |
195 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
180 |
79 |
$7K |
| 76813 |
|
41 |
40 |
$2K |
| 76801 |
|
33 |
31 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
28 |
$1K |
| 59025 |
Fetal non-stress test |
71 |
52 |
$560.90 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$507.04 |