| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
69 |
62 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
78 |
78 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24 |
24 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
39 |
39 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
47 |
43 |
$2K |
| 93976 |
|
13 |
12 |
$867.02 |
| 76821 |
|
15 |
12 |
$742.50 |
| 76820 |
|
16 |
13 |
$677.60 |
| 3078F |
|
14 |
14 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |