| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,353 |
1,374 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
704 |
337 |
$73K |
| 96127 |
|
627 |
558 |
$9K |
| 59025 |
Fetal non-stress test |
317 |
242 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
25 |
$2K |
| 96160 |
|
128 |
105 |
$2K |
| 90686 |
|
76 |
67 |
$2K |
| 99000 |
|
44 |
44 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$862.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
12 |
$461.86 |
| 90656 |
|
15 |
14 |
$278.54 |
| 81025 |
|
29 |
25 |
$149.93 |