| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
585 |
362 |
$2K |
| 93976 |
|
152 |
100 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
529 |
340 |
$1K |
| 76821 |
|
311 |
204 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
173 |
121 |
$792.18 |
| 76820 |
|
316 |
209 |
$521.15 |
| 59025 |
Fetal non-stress test |
299 |
113 |
$218.60 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
25 |
$162.98 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
66 |
38 |
$0.00 |