| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
1,327 |
698 |
$61K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
74 |
70 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
38 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
31 |
25 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
42 |
$2K |
| 59025 |
Fetal non-stress test |
34 |
14 |
$708.31 |