| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
497 |
374 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130 |
105 |
$6K |
| 59025 |
Fetal non-stress test |
196 |
161 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
64 |
63 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$796.39 |