| Code | Description | Claims | Beneficiaries | Total Paid |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,484 |
1,414 |
$102K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,790 |
1,680 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
241 |
188 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
160 |
95 |
$4K |
| 99242 |
|
22 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
32 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$884.37 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14 |
12 |
$563.92 |