| Code | Description | Claims | Bene. Records | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
203 |
178 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
208 |
165 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
121 |
106 |
$11K |
| 76820 |
|
172 |
144 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
14 |
$606.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$426.60 |