| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,186 |
3,350 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,468 |
1,765 |
$114K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
995 |
936 |
$83K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
135 |
135 |
$77K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
642 |
632 |
$66K |
| 59430 |
|
364 |
354 |
$33K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
457 |
419 |
$28K |
| 81002 |
|
7,220 |
4,167 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
158 |
$13K |
| 76818 |
|
59 |
26 |
$5K |
| 81025 |
|
679 |
655 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$870.84 |
| 59025 |
Fetal non-stress test |
17 |
12 |
$481.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$170.30 |