| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
964 |
795 |
$71K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
441 |
337 |
$47K |
| 76818 |
|
380 |
230 |
$27K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
279 |
226 |
$20K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
214 |
145 |
$15K |
| 76820 |
|
89 |
64 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 76821 |
|
18 |
12 |
$2K |
| 76801 |
|
18 |
12 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
13 |
$765.15 |