| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76801 |
|
616 |
599 |
$32K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
750 |
742 |
$31K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
195 |
195 |
$22K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
414 |
404 |
$17K |
| 76830 |
Ultrasound, transvaginal |
378 |
375 |
$13K |
| 93976 |
|
203 |
198 |
$11K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
204 |
193 |
$8K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$3K |
| 59025 |
Fetal non-stress test |
239 |
193 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
52 |
52 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$897.90 |