| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
688 |
563 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
414 |
376 |
$22K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
126 |
122 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
270 |
192 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
150 |
119 |
$7K |
| G9357 |
Post-partum screenings, evaluations and education performed |
69 |
64 |
$5K |
| H1000 |
Prenatal care, at-risk assessment |
39 |
39 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
36 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
751 |
621 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
38 |
27 |
$42.40 |