| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
109 |
107 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
62 |
62 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
81 |
81 |
$2K |
| 99245 |
|
12 |
12 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
33 |
27 |
$737.18 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
25 |
$708.17 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$635.12 |
| 1036F |
|
20 |
20 |
$0.00 |