| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
237 |
170 |
$31K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
179 |
101 |
$16K |
| 59025 |
Fetal non-stress test |
217 |
61 |
$8K |
| 76820 |
|
212 |
106 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
101 |
68 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
88 |
$5K |
| 87510 |
|
141 |
120 |
$2K |
| 87480 |
|
142 |
120 |
$2K |
| 87660 |
|
141 |
120 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
314 |
263 |
$2K |
| 36410 |
|
159 |
137 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$1K |
| 81002 |
|
179 |
63 |
$420.90 |
| 36415 |
Collection of venous blood by venipuncture |
212 |
162 |
$276.00 |