| Code | Description | Claims | Beneficiaries | Total Paid |
| 93976 |
|
1,177 |
952 |
$112K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
885 |
685 |
$51K |
| 76821 |
|
898 |
660 |
$46K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
561 |
416 |
$39K |
| 76820 |
|
1,194 |
917 |
$30K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
356 |
307 |
$27K |
| 93325 |
|
1,187 |
947 |
$23K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
141 |
139 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
996 |
736 |
$17K |
| 76825 |
|
176 |
169 |
$13K |
| 76827 |
|
155 |
151 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
90 |
$4K |