| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99000 |
|
7,071 |
5,651 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
303 |
242 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
93 |
78 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
52 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
26 |
12 |
$2K |
| 59025 |
Fetal non-stress test |
16 |
12 |
$358.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$281.68 |
| 90686 |
|
18 |
16 |
$278.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
68 |
$235.81 |