| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
169 |
159 |
$11K |
| 59025 |
Fetal non-stress test |
355 |
191 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
61 |
50 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
48 |
45 |
$3K |
| 76818 |
|
47 |
40 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
27 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
57 |
49 |
$2K |
| 0502F |
|
40 |
24 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16 |
15 |
$453.40 |
| 81003 |
|
60 |
46 |
$128.62 |