| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,764 |
1,318 |
$77K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
69 |
68 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
921 |
800 |
$58K |
| 76830 |
Ultrasound, transvaginal |
754 |
657 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
325 |
288 |
$27K |
| 59025 |
Fetal non-stress test |
1,127 |
788 |
$26K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
325 |
307 |
$13K |
| 59514 |
|
12 |
12 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
361 |
326 |
$9K |
| 96127 |
|
590 |
469 |
$8K |
| H1000 |
Prenatal care, at-risk assessment |
533 |
460 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
99 |
$6K |
| 59430 |
|
68 |
43 |
$4K |
| 81002 |
|
1,534 |
1,180 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
58 |
$4K |
| 81025 |
|
404 |
320 |
$2K |
| 0503F |
|
38 |
32 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
21 |
21 |
$1K |
| 58300 |
|
14 |
12 |
$1K |
| 54150 |
|
12 |
12 |
$930.00 |