| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
220 |
202 |
$14K |
| 0502F |
|
135 |
87 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
66 |
66 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
88 |
$4K |
| 59025 |
Fetal non-stress test |
159 |
103 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
27 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
15 |
$1K |
| 81002 |
|
30 |
13 |
$62.40 |