| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
649 |
593 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
289 |
261 |
$12K |
| 59025 |
Fetal non-stress test |
582 |
419 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
361 |
288 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
75 |
74 |
$8K |
| 76813 |
|
176 |
176 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
102 |
101 |
$3K |
| 76801 |
|
44 |
44 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
35 |
$2K |
| 76818 |
|
28 |
23 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
30 |
15 |
$992.09 |
| 76820 |
|
24 |
16 |
$486.91 |