| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
67 |
61 |
$4K |
| 76818 |
|
76 |
69 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
82 |
74 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
55 |
48 |
$3K |
| 59025 |
Fetal non-stress test |
110 |
86 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
25 |
25 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
32 |
31 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
31 |
$1K |