| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,700 |
5,212 |
$323K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
792 |
778 |
$52K |
| 0502F |
|
1,069 |
669 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
364 |
288 |
$21K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$7K |
| 76801 |
|
52 |
50 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
41 |
38 |
$4K |
| 59430 |
|
39 |
38 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 81025 |
|
180 |
160 |
$989.75 |
| 99459 |
|
61 |
48 |
$851.84 |
| 99385 |
|
14 |
12 |
$780.70 |