| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
47 |
41 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
109 |
109 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
17 |
$3K |
| 0502F |
|
65 |
54 |
$3K |
| 76830 |
Ultrasound, transvaginal |
61 |
53 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
49 |
45 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
22 |
20 |
$674.45 |
| 0503F |
|
13 |
12 |
$651.95 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
13 |
$502.71 |
| 59025 |
Fetal non-stress test |
21 |
12 |
$319.28 |