| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
150 |
126 |
$15K |
| 59025 |
Fetal non-stress test |
317 |
197 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
71 |
57 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
28 |
28 |
$4K |
| 76825 |
|
15 |
14 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
36 |
35 |
$3K |
| 76821 |
|
33 |
22 |
$3K |
| 76820 |
|
30 |
20 |
$1K |
| 76827 |
|
15 |
14 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
18 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
21 |
12 |
$563.23 |