| Code | Description | Claims | Beneficiaries | Total Paid |
| 99219 |
|
2,845 |
2,224 |
$255K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,251 |
1,071 |
$84K |
| 59025 |
Fetal non-stress test |
3,419 |
3,024 |
$68K |
| 99234 |
|
402 |
364 |
$44K |
| 59514 |
|
264 |
238 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
477 |
408 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
246 |
182 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
208 |
195 |
$11K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
128 |
119 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
44 |
41 |
$432.61 |