| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
132 |
114 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82 |
76 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
107 |
60 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
42 |
42 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
66 |
61 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
34 |
33 |
$1K |
| 76801 |
|
33 |
31 |
$974.02 |
| 0502F |
|
66 |
62 |
$0.00 |