| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76818 |
|
90 |
69 |
$24K |
| 59025 |
Fetal non-stress test |
47 |
40 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
46 |
39 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
268 |
233 |
$8K |
| 81002 |
|
319 |
272 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20 |
13 |
$1K |