| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,231 |
4,175 |
$202K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
180 |
172 |
$96K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
778 |
728 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
532 |
494 |
$38K |
| 59430 |
|
182 |
171 |
$16K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
60 |
57 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
134 |
$6K |
| 76801 |
|
67 |
57 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
134 |
120 |
$0.00 |