| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
794 |
696 |
$60K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,740 |
1,523 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
796 |
568 |
$28K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
309 |
280 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
362 |
304 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
433 |
223 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
26 |
25 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
38 |
29 |
$1K |