| Code | Description | Claims | Beneficiaries | Total Paid |
| 76819 |
Fetal biophysical profile; without non-stress testing |
623 |
358 |
$49K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
548 |
464 |
$32K |
| 76820 |
|
177 |
100 |
$13K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
47 |
47 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
70 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
28 |
26 |
$2K |