| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
77 |
61 |
$5K |
| 76801 |
|
66 |
51 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79 |
72 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
47 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$798.54 |
| 59025 |
Fetal non-stress test |
20 |
15 |
$395.08 |
| 0500F |
|
127 |
117 |
$60.26 |
| 0502F |
|
2,422 |
1,474 |
$0.00 |