| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,568 |
4,085 |
$525K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
70 |
67 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
70 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31 |
25 |
$4K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$2K |
| 59025 |
Fetal non-stress test |
35 |
26 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$615.48 |