| Code | Description | Claims | Bene. Records | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
187 |
172 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
51 |
51 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
103 |
102 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
30 |
30 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
65 |
54 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
12 |
$644.89 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$556.06 |
| 59025 |
Fetal non-stress test |
15 |
12 |
$467.53 |