| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
1,879 |
778 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,061 |
752 |
$75K |
| 59425 |
|
921 |
647 |
$67K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,013 |
694 |
$56K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
183 |
131 |
$15K |
| 99234 |
|
114 |
66 |
$8K |
| 59025 |
Fetal non-stress test |
179 |
87 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
53 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
29 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$1K |