| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
415 |
395 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
113 |
$7K |
| 76818 |
|
101 |
77 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
49 |
45 |
$3K |
| 76821 |
|
13 |
12 |
$930.62 |
| 76801 |
|
12 |
12 |
$898.85 |
| 76820 |
|
13 |
13 |
$862.81 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$615.52 |