| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
518 |
515 |
$77K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
347 |
333 |
$38K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
379 |
334 |
$37K |
| 76813 |
|
272 |
266 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
41 |
$5K |
| 76818 |
|
20 |
13 |
$3K |
| 59025 |
Fetal non-stress test |
77 |
65 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$654.22 |