| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
229 |
145 |
$17K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
312 |
208 |
$17K |
| 76827 |
|
282 |
208 |
$13K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
87 |
86 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72 |
59 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$752.75 |
| 99072 |
|
34 |
25 |
$0.00 |