| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
129 |
121 |
$4K |
| 59025 |
Fetal non-stress test |
177 |
89 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
159 |
91 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
30 |
30 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$1K |