| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,629 |
1,623 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
670 |
541 |
$21K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
149 |
118 |
$19K |
| 81000 |
|
3,563 |
2,005 |
$11K |
| 99215 |
Prolong outpt/office vis |
163 |
143 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
101 |
89 |
$9K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$8K |
| 59430 |
|
44 |
37 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
572 |
515 |
$514.50 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
92 |
89 |
$430.54 |
| 84703 |
|
97 |
94 |
$201.70 |