| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
58 |
55 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
551 |
551 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,101 |
1,063 |
$2K |
| 59025 |
Fetal non-stress test |
160 |
147 |
$701.41 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
524 |
524 |
$490.33 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
275 |
245 |
$73.95 |
| 88150 |
|
847 |
847 |
$17.24 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
249 |
237 |
$0.00 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| 99386 |
|
92 |
92 |
$0.00 |
| 88142 |
|
126 |
126 |
$0.00 |