| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,503 |
1,078 |
$63K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
28 |
26 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,191 |
1,118 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
475 |
447 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
357 |
356 |
$33K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
246 |
212 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
168 |
164 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
67 |
$6K |
| 99385 |
|
13 |
13 |
$1K |
| 87210 |
|
12 |
12 |
$64.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,053 |
533 |
$0.00 |