| Code | Description | Claims | Bene. Records | Total Paid |
| 59025 |
Fetal non-stress test |
921 |
440 |
$30K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
558 |
252 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
102 |
66 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
48 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
50 |
43 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
14 |
$592.60 |