| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
539 |
532 |
$105K |
| 59025 |
Fetal non-stress test |
3,168 |
2,027 |
$67K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
612 |
610 |
$63K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,302 |
1,104 |
$61K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
670 |
634 |
$38K |
| 76813 |
|
93 |
91 |
$15K |
| 76801 |
|
108 |
104 |
$12K |
| 59425 |
|
18 |
14 |
$1K |
| 76820 |
|
17 |
14 |
$611.86 |