| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
533 |
375 |
$25K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
75 |
64 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
83 |
77 |
$6K |
| 59025 |
Fetal non-stress test |
177 |
106 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
69 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
98 |
81 |
$955.55 |
| 81002 |
|
252 |
187 |
$476.64 |