| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59025 |
Fetal non-stress test |
170 |
150 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
32 |
$795.30 |
| 99385 |
|
89 |
83 |
$668.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
103 |
$598.81 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
72 |
71 |
$384.93 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
35 |
31 |
$215.49 |
| 81003 |
|
299 |
238 |
$17.40 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
327 |
316 |
$0.00 |
| 88141 |
|
71 |
70 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$0.00 |
| 0502F |
|
246 |
189 |
$0.00 |
| 59425 |
|
87 |
75 |
$0.00 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
90 |
87 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
38 |
$0.00 |
| 81025 |
|
31 |
30 |
$0.00 |
| 99401 |
|
17 |
17 |
$0.00 |