| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
92 |
83 |
$7K |
| 76818 |
|
130 |
90 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
126 |
105 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
16 |
$507.12 |
| 81002 |
|
25 |
25 |
$125.10 |
| 3074F |
|
24 |
12 |
$0.00 |