| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,345 |
860 |
$68K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
98 |
$4K |
| 59025 |
Fetal non-stress test |
114 |
42 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
34 |
27 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
18 |
$1K |
| 81002 |
|
14 |
12 |
$27.96 |