| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,152 |
1,101 |
$147K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
544 |
268 |
$37K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
532 |
512 |
$29K |
| 76813 |
|
236 |
189 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
404 |
401 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
160 |
$7K |
| 59025 |
Fetal non-stress test |
238 |
97 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
73 |
51 |
$4K |
| 99245 |
|
15 |
15 |
$2K |
| 99242 |
|
27 |
26 |
$1K |