| Code | Description | Claims | Beneficiaries | Total Paid |
| 76819 |
Fetal biophysical profile; without non-stress testing |
337 |
216 |
$23K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
286 |
279 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
248 |
218 |
$14K |
| 76820 |
|
280 |
176 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
198 |
190 |
$10K |
| 93325 |
|
179 |
140 |
$5K |
| 99460 |
|
76 |
76 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
70 |
66 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
98 |
$3K |
| 93000 |
|
137 |
129 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
29 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$881.11 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
12 |
12 |
$761.74 |
| 93320 |
|
12 |
12 |
$442.34 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$407.68 |
| 99201 |
|
14 |
12 |
$376.50 |
| 93321 |
|
13 |
12 |
$215.44 |