| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,442 |
1,300 |
$154K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,524 |
1,212 |
$129K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
600 |
599 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
84 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
73 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
48 |
$5K |
| 76818 |
|
19 |
13 |
$2K |
| 76801 |
|
16 |
16 |
$2K |
| 76813 |
|
16 |
16 |
$2K |
| 76820 |
|
39 |
15 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
20 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$300.31 |
| 99072 |
|
495 |
392 |
$0.00 |