| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
3,599 |
1,880 |
$183K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
668 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
454 |
402 |
$34K |
| 59025 |
Fetal non-stress test |
824 |
329 |
$25K |
| 96160 |
|
307 |
258 |
$4K |
| 99234 |
|
21 |
14 |
$2K |
| 96127 |
|
100 |
87 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
84 |
69 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
14 |
$1K |
| 99072 |
|
96 |
77 |
$787.50 |
| 0500F |
|
12 |
12 |
$485.10 |
| 36415 |
Collection of venous blood by venipuncture |
654 |
550 |
$142.70 |