| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
896 |
715 |
$102K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,112 |
854 |
$74K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,109 |
814 |
$57K |
| 76825 |
|
136 |
121 |
$18K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
153 |
137 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
119 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
43 |
38 |
$5K |