| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,843 |
1,008 |
$156K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,066 |
1,049 |
$129K |
| 76813 |
|
168 |
167 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
300 |
298 |
$13K |
| 76825 |
|
140 |
140 |
$11K |
| 59025 |
Fetal non-stress test |
661 |
224 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
79 |
79 |
$7K |
| 76827 |
|
107 |
107 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
41 |
40 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$1K |
| 99242 |
|
16 |
15 |
$519.20 |