| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
825 |
507 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
187 |
177 |
$8K |
| 59430 |
|
35 |
32 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
25 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 81002 |
|
594 |
370 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$955.54 |
| 59025 |
Fetal non-stress test |
37 |
26 |
$788.26 |