| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
656 |
647 |
$29K |
| 76801 |
|
459 |
451 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
225 |
221 |
$10K |
| 76830 |
Ultrasound, transvaginal |
221 |
218 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
69 |
68 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
97 |
41 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
81 |
77 |
$4K |
| 93976 |
|
52 |
51 |
$3K |
| 59025 |
Fetal non-stress test |
141 |
96 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
28 |
$907.45 |