| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
243 |
220 |
$29K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
342 |
204 |
$26K |
| 76820 |
|
555 |
324 |
$24K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
272 |
150 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
405 |
268 |
$19K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
58 |
57 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
12 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
22 |
17 |
$2K |