| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
322 |
270 |
$21K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
253 |
214 |
$13K |
| 76801 |
|
117 |
109 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
113 |
$8K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
49 |
48 |
$5K |
| 76813 |
|
26 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
41 |
$2K |