| Code | Description | Claims | Bene. Records | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,394 |
1,227 |
$47K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,041 |
920 |
$37K |
| 76820 |
|
917 |
464 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
846 |
542 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
695 |
632 |
$21K |
| 59025 |
Fetal non-stress test |
1,037 |
559 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
355 |
299 |
$9K |
| 76801 |
|
109 |
97 |
$4K |
| 76813 |
|
59 |
51 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
15 |
$595.35 |