| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,018 |
977 |
$69K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
633 |
549 |
$43K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
309 |
295 |
$32K |
| 59025 |
Fetal non-stress test |
1,008 |
656 |
$26K |
| 76818 |
|
267 |
206 |
$19K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
206 |
192 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
84 |
84 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
63 |
24 |
$5K |
| 76820 |
|
37 |
28 |
$3K |
| 54150 |
|
27 |
27 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
13 |
$2K |
| 76801 |
|
32 |
24 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$740.76 |
| 81002 |
|
12 |
12 |
$31.33 |