| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
157 |
112 |
$14K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
66 |
65 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
135 |
118 |
$10K |
| 76820 |
|
162 |
121 |
$7K |
| 76825 |
|
48 |
47 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
72 |
64 |
$5K |
| 93325 |
|
93 |
89 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79 |
74 |
$2K |
| 76826 |
|
12 |
12 |
$1K |
| 76828 |
|
12 |
12 |
$605.89 |