| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
243 |
233 |
$214K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,164 |
1,098 |
$76K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
862 |
861 |
$69K |
| 59025 |
Fetal non-stress test |
1,608 |
754 |
$45K |
| 59410 |
|
43 |
43 |
$43K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
53 |
53 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
741 |
700 |
$31K |
| 76801 |
|
395 |
393 |
$28K |
| 59430 |
|
103 |
103 |
$19K |
| 54150 |
|
217 |
216 |
$13K |
| 59514 |
|
15 |
12 |
$4K |
| 76818 |
|
25 |
13 |
$2K |
| 76820 |
|
65 |
41 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
14 |
$931.68 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$775.65 |
| 81003 |
|
380 |
372 |
$650.39 |
| 81025 |
|
54 |
52 |
$325.67 |
| 99459 |
|
13 |
13 |
$178.08 |
| 85018 |
|
93 |
93 |
$171.86 |
| 99024 |
|
21 |
21 |
$0.00 |
| 0502F |
|
252 |
143 |
$0.00 |