| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,264 |
792 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
603 |
408 |
$42K |
| 59025 |
Fetal non-stress test |
403 |
214 |
$10K |
| 59426 |
|
14 |
14 |
$9K |
| 76830 |
Ultrasound, transvaginal |
77 |
77 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
85 |
85 |
$8K |
| 59430 |
|
31 |
30 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
42 |
40 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |