| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,851 |
1,759 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
550 |
432 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
339 |
182 |
$29K |
| 76830 |
Ultrasound, transvaginal |
67 |
66 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
66 |
26 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
27 |
25 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
25 |
$2K |
| 59025 |
Fetal non-stress test |
34 |
12 |
$1K |