| Code | Description | Claims | Beneficiaries | Total Paid |
| 76818 |
|
682 |
367 |
$21K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
259 |
255 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
522 |
480 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
438 |
363 |
$13K |
| 76820 |
|
830 |
458 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
146 |
125 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
109 |
82 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
34 |
$2K |
| 76801 |
|
78 |
76 |
$2K |
| 76813 |
|
49 |
49 |
$2K |
| 59025 |
Fetal non-stress test |
78 |
42 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
34 |
32 |
$589.44 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$370.89 |