| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,103 |
956 |
$60K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,852 |
1,695 |
$58K |
| 0502F |
|
491 |
385 |
$25K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
709 |
524 |
$22K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
438 |
388 |
$12K |
| 99242 |
|
110 |
99 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
174 |
163 |
$6K |
| 59025 |
Fetal non-stress test |
566 |
342 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
44 |
$4K |
| 76825 |
|
47 |
40 |
$2K |
| 76801 |
|
47 |
43 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$1K |
| 76820 |
|
15 |
12 |
$664.29 |
| 93325 |
|
30 |
27 |
$429.75 |