| Code | Description | Claims | Beneficiaries | Total Paid |
| 76820 |
|
3,883 |
1,414 |
$163K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,443 |
1,144 |
$148K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,001 |
2,791 |
$121K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,802 |
1,250 |
$114K |
| 76821 |
|
2,522 |
885 |
$109K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,729 |
1,391 |
$102K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,307 |
914 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,114 |
615 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
492 |
382 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,266 |
598 |
$27K |
| 59025 |
Fetal non-stress test |
931 |
376 |
$18K |
| 76818 |
|
159 |
51 |
$6K |
| 81002 |
|
2,830 |
1,312 |
$5K |
| 76813 |
|
69 |
62 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
58 |
56 |
$3K |
| 36416 |
|
225 |
207 |
$445.69 |
| 97802 |
|
24 |
14 |
$0.00 |