| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
3,544 |
1,956 |
$157K |
| 76818 |
|
1,522 |
662 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
947 |
850 |
$60K |
| 99215 |
Prolong outpt/office vis |
536 |
515 |
$36K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
259 |
195 |
$18K |
| 81025 |
|
1,176 |
1,029 |
$5K |
| 81002 |
|
897 |
777 |
$2K |
| 59025 |
Fetal non-stress test |
51 |
31 |
$2K |
| 0500F |
|
24 |
24 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$934.70 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$862.80 |