| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,899 |
1,198 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
446 |
312 |
$45K |
| 59025 |
Fetal non-stress test |
436 |
233 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
123 |
117 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
92 |
75 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
66 |
63 |
$5K |
| 81003 |
|
2,070 |
1,333 |
$4K |
| 0500F |
|
12 |
12 |
$1K |
| 81002 |
|
28 |
20 |
$69.03 |