| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
538 |
502 |
$28K |
| 76818 |
|
435 |
365 |
$22K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
170 |
161 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
301 |
274 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
218 |
214 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
318 |
261 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
229 |
213 |
$6K |
| 59025 |
Fetal non-stress test |
455 |
336 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
51 |
31 |
$2K |
| 76801 |
|
24 |
24 |
$973.36 |
| 76813 |
|
24 |
24 |
$960.16 |
| 99245 |
|
14 |
13 |
$443.10 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$418.36 |
| 76820 |
|
20 |
16 |
$385.69 |
| 99241 |
|
32 |
32 |
$144.39 |