| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59025 |
Fetal non-stress test |
201 |
150 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
32 |
30 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
69 |
51 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
16 |
$836.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
14 |
$493.64 |