| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,400 |
1,249 |
$241K |
| 0502F |
|
3,707 |
2,202 |
$210K |
| 59025 |
Fetal non-stress test |
1,947 |
813 |
$66K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
44 |
44 |
$39K |
| 59430 |
|
235 |
170 |
$35K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
204 |
154 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
150 |
$13K |
| 81003 |
|
4,773 |
2,557 |
$10K |
| 0503F |
|
113 |
94 |
$10K |
| 96127 |
|
280 |
220 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
28 |
$3K |
| 0500F |
|
15 |
14 |
$2K |
| 76830 |
Ultrasound, transvaginal |
16 |
14 |
$1K |
| 81002 |
|
214 |
139 |
$539.69 |