| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,278 |
7,459 |
$692K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
144 |
$16K |
| 76830 |
Ultrasound, transvaginal |
24 |
24 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
12 |
$1K |
| 59025 |
Fetal non-stress test |
29 |
25 |
$716.39 |
| 81025 |
|
42 |
41 |
$313.91 |