| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
169 |
107 |
$3K |
| 76801 |
|
114 |
110 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
143 |
140 |
$3K |
| 59025 |
Fetal non-stress test |
185 |
113 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
25 |
$2K |
| 88307 |
|
21 |
21 |
$2K |
| 76813 |
|
64 |
63 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
67 |
67 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
45 |
45 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$801.35 |
| 99223 |
Prolong inpt eval add15 m |
24 |
24 |
$607.85 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$61.34 |
| 81002 |
|
60 |
42 |
$33.86 |
| 99233 |
Prolong inpt eval add15 m |
25 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |