| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
264 |
264 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
555 |
464 |
$20K |
| 76818 |
|
293 |
192 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73 |
54 |
$4K |
| 59025 |
Fetal non-stress test |
84 |
57 |
$3K |
| 99242 |
|
38 |
37 |
$3K |
| 76820 |
|
101 |
55 |
$2K |
| 76813 |
|
28 |
28 |
$1K |
| 99243 |
|
12 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
20 |
16 |
$540.37 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$404.48 |