| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
18 |
18 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
34 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31 |
30 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
16 |
$674.15 |
| 59025 |
Fetal non-stress test |
13 |
12 |
$437.71 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$341.32 |
| 81002 |
|
31 |
29 |
$263.51 |