| Code | Description | Claims | Beneficiaries | Total Paid |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
217 |
202 |
$28K |
| 59425 |
|
195 |
139 |
$21K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
174 |
152 |
$14K |
| 76820 |
|
167 |
144 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
48 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$1K |