| Code | Description | Claims | Beneficiaries | Total Paid |
| 76820 |
|
500 |
306 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
335 |
236 |
$14K |
| 76818 |
|
195 |
111 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
51 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
65 |
63 |
$4K |
| 99205 |
Prolong outpt/office vis |
31 |
26 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
20 |
16 |
$462.65 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$0.00 |