| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
482 |
443 |
$15K |
| 59025 |
Fetal non-stress test |
443 |
316 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
401 |
336 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
40 |
40 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
54 |
54 |
$2K |
| 76820 |
|
103 |
83 |
$2K |