| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,082 |
763 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
274 |
181 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
310 |
198 |
$32K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
57 |
56 |
$5K |
| 59025 |
Fetal non-stress test |
101 |
62 |
$3K |
| 81003 |
|
1,390 |
927 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$888.00 |
| 81002 |
|
52 |
38 |
$128.18 |