| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
406 |
385 |
$47K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
560 |
550 |
$36K |
| 59025 |
Fetal non-stress test |
816 |
743 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
225 |
222 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
314 |
295 |
$12K |
| 11981 |
|
12 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
29 |
28 |
$837.30 |