| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
573 |
493 |
$31K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
641 |
560 |
$22K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
433 |
283 |
$13K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
63 |
61 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
117 |
113 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
15 |
$648.40 |