| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
134 |
123 |
$118K |
| 0502F |
|
1,967 |
1,289 |
$85K |
| 76830 |
Ultrasound, transvaginal |
753 |
692 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,332 |
1,213 |
$50K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
473 |
417 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
468 |
401 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,036 |
887 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
308 |
295 |
$22K |
| 76801 |
|
279 |
243 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
145 |
133 |
$11K |
| 76857 |
|
139 |
123 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
146 |
127 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
276 |
182 |
$8K |
| 59025 |
Fetal non-stress test |
982 |
652 |
$8K |
| 0500F |
|
193 |
168 |
$8K |
| 99215 |
Prolong outpt/office vis |
91 |
84 |
$6K |
| 76813 |
|
67 |
64 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
89 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
348 |
330 |
$4K |
| 81002 |
|
1,347 |
1,186 |
$3K |
| 81025 |
|
1,116 |
978 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
45 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
17 |
$1K |
| 99385 |
|
15 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$326.40 |
| 87210 |
|
12 |
12 |
$56.40 |