| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
628 |
486 |
$40K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
542 |
409 |
$17K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
149 |
130 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
520 |
396 |
$15K |
| 76820 |
|
498 |
322 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
75 |
64 |
$6K |
| 76818 |
|
78 |
55 |
$5K |
| 99242 |
|
34 |
32 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$561.71 |