| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87660 |
|
917 |
895 |
$15K |
| 59025 |
Fetal non-stress test |
708 |
526 |
$14K |
| 87480 |
|
935 |
913 |
$7K |
| 87510 |
|
904 |
882 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
47 |
45 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
326 |
315 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
91 |
$3K |
| 90686 |
|
131 |
129 |
$2K |
| 90674 |
|
48 |
47 |
$903.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
27 |
$465.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$337.50 |
| 99000 |
|
2,189 |
2,145 |
$0.00 |