| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,673 |
1,330 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,679 |
1,255 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
241 |
184 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
150 |
138 |
$13K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
12 |
$7K |
| 76801 |
|
25 |
14 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
13 |
$771.36 |
| 81003 |
|
442 |
92 |
$37.86 |
| 1036F |
|
1,146 |
915 |
$0.00 |
| 3008F |
|
1,681 |
1,343 |
$0.00 |
| 3079F |
|
231 |
198 |
$0.00 |
| 3074F |
|
1,298 |
1,090 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 3078F |
|
991 |
839 |
$0.00 |