| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
248 |
212 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
135 |
129 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
61 |
48 |
$5K |
| 59025 |
Fetal non-stress test |
180 |
77 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
42 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
28 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
87 |
40 |
$3K |
| 76820 |
|
25 |
19 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
32 |
24 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$489.87 |