| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,357 |
828 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
430 |
232 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
59 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
14 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$541.56 |
| 59025 |
Fetal non-stress test |
46 |
42 |
$389.20 |
| 81025 |
|
31 |
28 |
$155.10 |