| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
221 |
214 |
$12K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
83 |
83 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
115 |
92 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
79 |
77 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
36 |
$2K |
| 59025 |
Fetal non-stress test |
86 |
68 |
$2K |
| 76820 |
|
14 |
12 |
$288.56 |