| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
151 |
133 |
$15K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
76 |
76 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161 |
122 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
32 |
31 |
$3K |
| 59025 |
Fetal non-stress test |
41 |
25 |
$2K |
| 76821 |
|
15 |
12 |
$1K |
| 76820 |
|
17 |
12 |
$683.01 |
| 82962 |
|
14 |
12 |
$33.81 |