| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,493 |
1,322 |
$96K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
559 |
414 |
$32K |
| 59025 |
Fetal non-stress test |
1,325 |
787 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
370 |
317 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
213 |
174 |
$17K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
229 |
196 |
$16K |
| 0502F |
|
137 |
82 |
$6K |
| 76820 |
|
98 |
67 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$2K |
| 99242 |
|
16 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$864.43 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
14 |
$754.95 |
| 96040 |
|
13 |
12 |
$460.72 |
| 81002 |
|
110 |
80 |
$252.98 |