| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,827 |
5,132 |
$220K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
208 |
195 |
$101K |
| 76801 |
|
424 |
373 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
651 |
597 |
$28K |
| 59430 |
|
287 |
277 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
285 |
262 |
$24K |
| 59514 |
|
31 |
24 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
231 |
183 |
$12K |
| 81002 |
|
4,415 |
2,842 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
87 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
435 |
399 |
$5K |
| 99091 |
|
13 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
38 |
$98.53 |