| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
106 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
52 |
47 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
27 |
26 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
18 |
17 |
$736.19 |
| 59025 |
Fetal non-stress test |
14 |
13 |
$389.73 |