| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
522 |
371 |
$21K |
| 59025 |
Fetal non-stress test |
343 |
242 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
70 |
55 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$1K |
| 54150 |
|
14 |
14 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$659.07 |