| Code | Description | Claims | Beneficiaries | Total Paid |
| 59426 |
|
1,355 |
512 |
$109K |
| 59425 |
|
588 |
420 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,150 |
840 |
$31K |
| 59025 |
Fetal non-stress test |
334 |
136 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
182 |
159 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
128 |
68 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
12 |
$129.85 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
215 |
188 |
$88.65 |
| 81025 |
|
42 |
24 |
$69.75 |