| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
235 |
209 |
$24K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
116 |
110 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
105 |
101 |
$9K |
| 59025 |
Fetal non-stress test |
111 |
91 |
$5K |
| 76820 |
|
33 |
29 |
$1K |
| 76821 |
|
16 |
15 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
16 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$681.09 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18 |
13 |
$482.46 |