| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,972 |
4,350 |
$522K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
318 |
309 |
$25K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
53 |
52 |
$7K |
| 76830 |
Ultrasound, transvaginal |
109 |
100 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
192 |
174 |
$6K |
| 59430 |
|
12 |
12 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31 |
13 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$2K |
| 90715 |
|
28 |
27 |
$970.23 |
| 81002 |
|
12 |
12 |
$25.39 |