| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,935 |
6,186 |
$487K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,215 |
7,561 |
$374K |
| 59025 |
Fetal non-stress test |
765 |
637 |
$17K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
166 |
117 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
17 |
$407.38 |