| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
357 |
327 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
189 |
180 |
$7K |
| 59025 |
Fetal non-stress test |
298 |
104 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
117 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
53 |
52 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
184 |
73 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
99 |
81 |
$3K |