| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
2,094 |
1,408 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
382 |
224 |
$31K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
325 |
319 |
$22K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
133 |
50 |
$8K |
| 76830 |
Ultrasound, transvaginal |
100 |
96 |
$6K |
| 59025 |
Fetal non-stress test |
98 |
29 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$862.80 |