| Code | Description | Claims | Beneficiaries | Total Paid |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,609 |
1,506 |
$308K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,568 |
1,489 |
$153K |
| 99242 |
|
1,138 |
1,126 |
$59K |
| 76813 |
|
428 |
401 |
$52K |
| 76801 |
|
457 |
450 |
$39K |
| 76825 |
|
409 |
407 |
$35K |
| 99243 |
|
349 |
345 |
$23K |
| 59025 |
Fetal non-stress test |
631 |
383 |
$14K |
| 93325 |
|
162 |
162 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
182 |
125 |
$13K |
| 76827 |
|
174 |
174 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
15 |
14 |
$1K |
| 99241 |
|
33 |
33 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$636.71 |