| Code | Description | Claims | Beneficiaries | Total Paid |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,125 |
2,881 |
$451K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,168 |
2,746 |
$222K |
| 99242 |
|
3,701 |
3,494 |
$159K |
| 76813 |
|
1,505 |
1,265 |
$148K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,246 |
1,244 |
$104K |
| 76825 |
|
1,083 |
1,083 |
$82K |
| 93325 |
|
1,126 |
1,093 |
$79K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,568 |
1,434 |
$75K |
| 76827 |
|
930 |
930 |
$48K |
| 76801 |
|
664 |
664 |
$48K |
| 99241 |
|
610 |
595 |
$17K |
| 99243 |
|
130 |
124 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
66 |
66 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
27 |
27 |
$2K |
| 76820 |
|
54 |
54 |
$2K |
| 76826 |
|
15 |
15 |
$803.85 |
| 76828 |
|
15 |
15 |
$459.00 |
| 99000 |
|
50 |
50 |
$164.46 |