| Code | Description | Claims | Beneficiaries | Total Paid |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
194 |
194 |
$31K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
409 |
260 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
264 |
264 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
332 |
296 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
249 |
234 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
121 |
30 |
$4K |
| 59025 |
Fetal non-stress test |
133 |
39 |
$3K |
| 76820 |
|
34 |
14 |
$2K |
| 76821 |
|
21 |
12 |
$1K |