| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,801 |
2,485 |
$240K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,373 |
1,282 |
$183K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,624 |
2,311 |
$171K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,853 |
1,691 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
633 |
569 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
463 |
418 |
$24K |
| 76820 |
|
594 |
473 |
$19K |
| 99205 |
Prolong outpt/office vis |
78 |
69 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
43 |
$4K |
| 99215 |
Prolong outpt/office vis |
40 |
40 |
$3K |