| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
212 |
209 |
$24K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
186 |
183 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
90 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
91 |
90 |
$2K |
| 76813 |
|
25 |
25 |
$2K |
| 59025 |
Fetal non-stress test |
76 |
24 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
31 |
14 |
$1K |