| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
630 |
432 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
213 |
199 |
$13K |
| 59025 |
Fetal non-stress test |
122 |
56 |
$4K |
| 54150 |
|
24 |
24 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
36 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
27 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
29 |
26 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$933.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$627.33 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$599.96 |