| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
842 |
720 |
$59K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,126 |
994 |
$41K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
792 |
601 |
$29K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
647 |
564 |
$26K |
| 59025 |
Fetal non-stress test |
1,432 |
900 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
310 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
142 |
131 |
$9K |
| 99243 |
|
61 |
48 |
$6K |
| 99242 |
|
72 |
72 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
18 |
16 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
18 |
$1K |
| 0502F |
|
23 |
13 |
$1K |