| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,168 |
1,106 |
$63K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
505 |
400 |
$19K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
95 |
94 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
263 |
257 |
$18K |
| 76801 |
|
225 |
223 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
233 |
200 |
$15K |
| 59025 |
Fetal non-stress test |
722 |
525 |
$13K |
| 76813 |
|
141 |
141 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
120 |
119 |
$7K |
| 99243 |
|
38 |
37 |
$3K |
| 76820 |
|
36 |
29 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17 |
15 |
$746.30 |