| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
3,889 |
2,911 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
776 |
590 |
$73K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
613 |
474 |
$30K |
| 59025 |
Fetal non-stress test |
321 |
221 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
32 |
$6K |
| 96127 |
|
184 |
163 |
$3K |
| 0503F |
|
49 |
45 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
38 |
$1K |
| 0500F |
|
13 |
13 |
$500.54 |
| 90715 |
|
13 |
13 |
$443.66 |
| 36415 |
Collection of venous blood by venipuncture |
104 |
91 |
$66.68 |
| 1036F |
|
15 |
13 |
$0.00 |