| Code | Description | Claims | Bene. Records | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
135 |
123 |
$5K |
| 59025 |
Fetal non-stress test |
92 |
31 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
71 |
33 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
58 |
58 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
29 |
25 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
14 |
$709.02 |
| 76820 |
|
17 |
13 |
$670.08 |