| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
9,117 |
6,647 |
$530K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
338 |
333 |
$33K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
612 |
596 |
$32K |
| 99243 |
|
487 |
485 |
$29K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
290 |
263 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
806 |
780 |
$22K |
| 99215 |
Prolong outpt/office vis |
175 |
173 |
$22K |
| 76813 |
|
149 |
149 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
89 |
$8K |
| 59025 |
Fetal non-stress test |
281 |
125 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
74 |
65 |
$4K |
| 88141 |
|
44 |
26 |
$2K |
| 59430 |
|
29 |
27 |
$2K |