| Code | Description | Claims | Bene. Records | Total Paid |
| 76819 |
Fetal biophysical profile; without non-stress testing |
707 |
452 |
$85K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
697 |
650 |
$75K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
46 |
46 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
44 |
44 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
26 |
$3K |
| 76801 |
|
14 |
14 |
$2K |
| 59025 |
Fetal non-stress test |
14 |
13 |
$842.38 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$453.72 |