| Code | Description | Claims | Beneficiaries | Total Paid |
| 76820 |
|
4,430 |
2,375 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,485 |
1,041 |
$65K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,055 |
917 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
797 |
543 |
$53K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,734 |
1,784 |
$51K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,167 |
1,184 |
$46K |
| 76821 |
|
1,198 |
520 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
431 |
313 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
57 |
55 |
$6K |
| 76825 |
|
58 |
51 |
$3K |
| 76827 |
|
58 |
51 |
$1K |