| Code | Description | Claims | Beneficiaries | Total Paid |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,732 |
1,603 |
$203K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,436 |
1,136 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,776 |
1,569 |
$101K |
| 59425 |
|
544 |
396 |
$67K |
| 76820 |
|
1,296 |
1,017 |
$45K |
| 76801 |
|
301 |
286 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
431 |
389 |
$30K |
| 76813 |
|
285 |
270 |
$29K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
133 |
126 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
633 |
562 |
$19K |
| 99215 |
Prolong outpt/office vis |
165 |
153 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
296 |
278 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
60 |
50 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
86 |
64 |
$6K |
| 99205 |
Prolong outpt/office vis |
24 |
24 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
26 |
$2K |
| 76830 |
Ultrasound, transvaginal |
25 |
24 |
$2K |
| 99000 |
|
219 |
206 |
$253.76 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
67 |
$179.37 |