| Code | Description | Claims | Beneficiaries | Total Paid |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
281 |
278 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
208 |
200 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
160 |
128 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
74 |
73 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
161 |
153 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
41 |
39 |
$1K |
| 73630 |
|
14 |
13 |
$136.31 |