| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76818 |
|
293 |
216 |
$65K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
241 |
207 |
$49K |
| 59025 |
Fetal non-stress test |
173 |
148 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
186 |
149 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
206 |
170 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
451 |
392 |
$13K |
| 81002 |
|
647 |
543 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
40 |
38 |
$6K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
28 |
24 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$430.54 |