| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,459 |
879 |
$83K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
534 |
367 |
$53K |
| 76801 |
|
78 |
67 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
45 |
44 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$1K |
| 90686 |
|
52 |
44 |
$776.19 |
| 59025 |
Fetal non-stress test |
16 |
12 |
$229.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$166.86 |