| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
505 |
473 |
$33K |
| 76818 |
|
466 |
360 |
$28K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
214 |
209 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
332 |
301 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
371 |
311 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
213 |
209 |
$13K |
| 59025 |
Fetal non-stress test |
466 |
348 |
$9K |
| 76820 |
|
72 |
54 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
28 |
$858.96 |
| 76801 |
|
12 |
12 |
$532.32 |
| 76813 |
|
12 |
12 |
$508.24 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
12 |
$238.35 |