| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
219 |
167 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
203 |
147 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
222 |
205 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
105 |
$9K |
| 93976 |
|
105 |
87 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
202 |
155 |
$7K |
| 76820 |
|
97 |
69 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24 |
24 |
$3K |
| 76821 |
|
61 |
40 |
$2K |