| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
672 |
576 |
$23K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
387 |
290 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
42 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
75 |
74 |
$3K |
| 76813 |
|
31 |
31 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
29 |
$1K |
| 76801 |
|
36 |
36 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$964.05 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$372.25 |