| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
7,539 |
3,969 |
$413K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,092 |
2,828 |
$313K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,168 |
963 |
$83K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,283 |
738 |
$59K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
795 |
565 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
752 |
694 |
$56K |
| 0500F |
|
536 |
453 |
$32K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
395 |
326 |
$31K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
26 |
26 |
$24K |
| 0503F |
|
248 |
205 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
134 |
132 |
$11K |
| 80305 |
|
933 |
866 |
$8K |
| 76801 |
|
114 |
99 |
$8K |
| 59430 |
|
34 |
26 |
$4K |
| 76830 |
Ultrasound, transvaginal |
52 |
44 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
42 |
$4K |
| 80306 |
|
268 |
190 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
33 |
25 |
$2K |
| 59025 |
Fetal non-stress test |
14 |
12 |
$317.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$264.87 |
| 81025 |
|
15 |
15 |
$77.55 |
| 81002 |
|
14 |
12 |
$36.40 |