are you talking about the tag Number of Study Related Instances (0020,1208)?
The only reliable way to determine the number of instances in a study is to query down on instance level and count the number of responses. Study Related Instances or Number of Series Related Instances are only optional attributes. which mean it depends on the implementation of the SCP and you cannot rely on that.
But if you retrieve a study, the download status is provided in the C-MOVE Response, which also contains a number of completed and remaining sub-operations (instaces to transfer) and if you receive a C-MOVE Response with status success you can rely that every instance was transfered successfully.
regards
Felix