| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,604 |
1,267 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,381 |
1,048 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
252 |
245 |
$22K |
| 59025 |
Fetal non-stress test |
349 |
111 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
195 |
170 |
$6K |
| 76830 |
Ultrasound, transvaginal |
174 |
159 |
$6K |
| 81003 |
|
2,190 |
1,073 |
$5K |
| 96127 |
|
103 |
77 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
12 |
$606.12 |