| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
812 |
802 |
$34K |
| 76801 |
|
587 |
579 |
$31K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
384 |
376 |
$16K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
67 |
67 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
163 |
150 |
$7K |
| 76830 |
Ultrasound, transvaginal |
153 |
151 |
$5K |
| 99215 |
Prolong outpt/office vis |
44 |
42 |
$4K |
| 59025 |
Fetal non-stress test |
206 |
158 |
$3K |
| 93976 |
|
30 |
30 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
27 |
$853.35 |
| 76820 |
|
12 |
12 |
$330.46 |