| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
608 |
545 |
$48K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,536 |
1,457 |
$45K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
468 |
443 |
$27K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
166 |
148 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
220 |
195 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
299 |
277 |
$9K |
| 99215 |
Prolong outpt/office vis |
60 |
55 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
168 |
142 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
130 |
128 |
$4K |
| 76801 |
|
27 |
26 |
$867.60 |