| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,348 |
1,043 |
$126K |
| 0502F |
|
1,778 |
1,130 |
$106K |
| 76830 |
Ultrasound, transvaginal |
445 |
392 |
$31K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
456 |
411 |
$28K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
25 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
159 |
$19K |
| 76818 |
|
198 |
121 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
171 |
118 |
$12K |
| 99215 |
Prolong outpt/office vis |
100 |
88 |
$7K |
| 96127 |
|
168 |
115 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 59025 |
Fetal non-stress test |
43 |
32 |
$714.64 |