| Code | Description | Claims | Beneficiaries | Total Paid |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,385 |
1,294 |
$112K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,345 |
1,114 |
$105K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,073 |
933 |
$95K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
637 |
612 |
$46K |
| 76820 |
|
1,377 |
1,142 |
$46K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
29 |
29 |
$5K |
| 81002 |
|
1,090 |
1,010 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
733 |
702 |
$1K |
| 81000 |
|
387 |
352 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$834.14 |
| 96160 |
|
28 |
28 |
$80.12 |
| 99024 |
|
28 |
28 |
$0.00 |
| 0502F |
|
202 |
180 |
$0.00 |