| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
596 |
578 |
$31K |
| 76818 |
|
506 |
394 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
284 |
275 |
$20K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
227 |
223 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
360 |
339 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
401 |
286 |
$15K |
| 59025 |
Fetal non-stress test |
559 |
357 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
48 |
$2K |
| 76820 |
|
55 |
42 |
$986.07 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$628.43 |
| 76801 |
|
12 |
12 |
$619.76 |
| 76813 |
|
12 |
12 |
$607.14 |
| 99241 |
|
71 |
69 |
$433.17 |
| 76827 |
|
12 |
12 |
$233.16 |