| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
954 |
871 |
$51K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
214 |
165 |
$15K |
| 59025 |
Fetal non-stress test |
726 |
374 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
97 |
76 |
$5K |
| 0502F |
|
98 |
67 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
34 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
18 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
12 |
$424.55 |