| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
5,062 |
3,217 |
$256K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,103 |
2,334 |
$160K |
| 59025 |
Fetal non-stress test |
1,653 |
871 |
$55K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
36 |
36 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
170 |
166 |
$14K |
| H1000 |
Prenatal care, at-risk assessment |
923 |
862 |
$13K |
| 0503F |
|
141 |
127 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
25 |
$5K |
| 81002 |
|
1,943 |
1,337 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
49 |
48 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$3K |
| 81025 |
|
670 |
514 |
$3K |
| 0500F |
|
65 |
63 |
$3K |
| 96160 |
|
167 |
157 |
$2K |
| 76830 |
Ultrasound, transvaginal |
31 |
28 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$1K |