| Code | Description | Claims | Beneficiaries | Total Paid |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
458 |
447 |
$22K |
| 76801 |
|
374 |
321 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
44 |
44 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
329 |
303 |
$9K |
| 76813 |
|
58 |
53 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
115 |
111 |
$2K |
| 76830 |
Ultrasound, transvaginal |
42 |
40 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240 |
198 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
31 |
27 |
$911.90 |
| 59425 |
|
298 |
143 |
$492.96 |
| 81002 |
|
255 |
162 |
$15.05 |
| 81025 |
|
13 |
13 |
$2.80 |