| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
940 |
857 |
$31K |
| 59025 |
Fetal non-stress test |
824 |
624 |
$22K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
645 |
549 |
$16K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
85 |
85 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
136 |
136 |
$6K |
| 76820 |
|
114 |
86 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
40 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
17 |
17 |
$0.00 |