| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,377 |
3,377 |
$260K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
130 |
123 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
114 |
103 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
80 |
24 |
$4K |
| 59430 |
|
12 |
12 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$1K |