| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
886 |
788 |
$49K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,174 |
1,115 |
$36K |
| 76825 |
|
210 |
191 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
355 |
336 |
$10K |
| 0502F |
|
154 |
146 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
130 |
114 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
77 |
74 |
$3K |
| 93325 |
|
146 |
140 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$642.32 |
| 76801 |
|
14 |
13 |
$472.75 |
| 59025 |
Fetal non-stress test |
46 |
28 |
$390.22 |