| Code | Description | Claims | Beneficiaries | Total Paid |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
479 |
392 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
744 |
573 |
$30K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
300 |
260 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
340 |
320 |
$17K |
| 76801 |
|
100 |
81 |
$8K |
| 99218 |
|
49 |
48 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
18 |
15 |
$1K |
| 81025 |
|
44 |
43 |
$354.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
19 |
$319.27 |