| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
54 |
41 |
$3K |
| 76818 |
|
28 |
19 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
14 |
12 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
14 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
15 |
$709.81 |
| 59025 |
Fetal non-stress test |
49 |
16 |
$549.42 |