| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
875 |
774 |
$27K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
185 |
174 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
647 |
461 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
416 |
367 |
$14K |
| 76801 |
|
298 |
285 |
$13K |
| 59025 |
Fetal non-stress test |
771 |
492 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
188 |
174 |
$6K |
| 76820 |
|
117 |
70 |
$3K |
| 76813 |
|
66 |
49 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
40 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
31 |
28 |
$1K |
| 76818 |
|
23 |
18 |
$980.20 |