| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,020 |
389 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
801 |
721 |
$45K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
535 |
129 |
$24K |
| 76830 |
Ultrasound, transvaginal |
447 |
229 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
80 |
80 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 82270 |
|
14 |
14 |
$42.12 |