| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
850 |
440 |
$84K |
| 0502F |
|
975 |
642 |
$65K |
| 59025 |
Fetal non-stress test |
347 |
125 |
$11K |
| 59430 |
|
43 |
27 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
62 |
45 |
$4K |
| 81003 |
|
1,558 |
851 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
30 |
$3K |
| 0503F |
|
14 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
14 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$866.40 |
| 90715 |
|
21 |
12 |
$809.44 |
| 96127 |
|
35 |
21 |
$512.46 |