| Code | Description | Claims | Bene. Records | Total Paid |
| 76818 |
|
405 |
326 |
$25K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
435 |
408 |
$24K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
230 |
224 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
384 |
354 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
248 |
246 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
323 |
257 |
$13K |
| 59025 |
Fetal non-stress test |
445 |
315 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228 |
214 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
55 |
38 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$632.88 |
| 93325 |
|
12 |
12 |
$116.80 |
| 99241 |
|
12 |
12 |
$112.79 |