| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
565 |
508 |
$37K |
| 0502F |
|
609 |
391 |
$27K |
| 76818 |
|
286 |
213 |
$17K |
| 59025 |
Fetal non-stress test |
373 |
252 |
$12K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
169 |
153 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
175 |
169 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
62 |
58 |
$4K |
| 76801 |
|
39 |
37 |
$2K |
| 81002 |
|
723 |
487 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$826.85 |
| 90686 |
|
18 |
15 |
$375.81 |
| 81003 |
|
53 |
41 |
$115.54 |