| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59510 |
|
226 |
206 |
$319K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,866 |
2,449 |
$134K |
| 59025 |
Fetal non-stress test |
822 |
442 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
233 |
223 |
$21K |
| 76830 |
Ultrasound, transvaginal |
226 |
208 |
$20K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
306 |
276 |
$19K |
| 59426 |
|
43 |
22 |
$15K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
466 |
424 |
$12K |
| 99241 |
|
245 |
228 |
$10K |
| 82044 |
|
2,083 |
1,243 |
$9K |
| 76818 |
|
56 |
54 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
54 |
$3K |
| 99070 |
|
26 |
26 |
$655.00 |
| 76801 |
|
12 |
12 |
$468.00 |
| 99201 |
|
16 |
14 |
$350.00 |