| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,254 |
1,232 |
$115K |
| 76820 |
|
3,897 |
2,545 |
$106K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,331 |
908 |
$56K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
848 |
772 |
$55K |
| 76825 |
|
301 |
299 |
$47K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
910 |
684 |
$44K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
460 |
425 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
323 |
323 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
304 |
180 |
$16K |
| 59025 |
Fetal non-stress test |
391 |
159 |
$9K |
| 76818 |
|
18 |
13 |
$1K |