| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
514 |
508 |
$58K |
| 76801 |
|
881 |
867 |
$47K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,054 |
1,046 |
$45K |
| 76830 |
Ultrasound, transvaginal |
725 |
722 |
$27K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
600 |
587 |
$26K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
345 |
331 |
$15K |
| 93976 |
|
198 |
196 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
69 |
68 |
$2K |
| 59025 |
Fetal non-stress test |
115 |
94 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
26 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
27 |
13 |
$411.40 |