| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
807 |
646 |
$25K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
254 |
206 |
$11K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
441 |
262 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
36 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
35 |
34 |
$886.07 |
| 76801 |
|
13 |
13 |
$467.35 |