| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,458 |
1,034 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
864 |
493 |
$73K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
518 |
454 |
$20K |
| 0503F |
|
21 |
12 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| 0500F |
|
12 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
29 |
29 |
$828.38 |
| 81002 |
|
157 |
137 |
$374.40 |
| 81003 |
|
155 |
109 |
$337.90 |
| 59025 |
Fetal non-stress test |
39 |
38 |
$308.90 |