| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
762 |
751 |
$34K |
| 76801 |
|
504 |
495 |
$27K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
241 |
238 |
$27K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
347 |
341 |
$15K |
| 76830 |
Ultrasound, transvaginal |
391 |
388 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
173 |
169 |
$8K |
| 59025 |
Fetal non-stress test |
267 |
189 |
$4K |
| 93976 |
|
52 |
51 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
55 |
25 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
49 |
$3K |
| 99215 |
Prolong outpt/office vis |
31 |
29 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
27 |
$914.10 |