| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
304 |
250 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
179 |
159 |
$9K |
| 59025 |
Fetal non-stress test |
227 |
141 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
39 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
59 |
53 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
83 |
$2K |
| 81003 |
|
804 |
565 |
$2K |
| 76818 |
|
17 |
15 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
12 |
12 |
$963.08 |
| 81025 |
|
73 |
71 |
$388.12 |
| 85018 |
|
88 |
88 |
$197.17 |