| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,790 |
2,840 |
$162K |
| 59430 |
|
286 |
279 |
$22K |
| 81002 |
|
5,651 |
3,403 |
$16K |
| 99000 |
|
1,571 |
1,513 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
26 |
26 |
$15K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
88 |
88 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
64 |
$5K |
| H0049 |
Alcohol and/or drug screening |
92 |
91 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
15 |
$768.06 |