| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
189 |
189 |
$25K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
197 |
166 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
264 |
215 |
$16K |
| 76820 |
|
141 |
104 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98 |
81 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
28 |
$3K |