| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,721 |
8,429 |
$211K |
| 76857 |
|
5,434 |
5,426 |
$207K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,698 |
4,571 |
$171K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,750 |
1,281 |
$136K |
| 59425 |
|
881 |
633 |
$56K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
887 |
639 |
$53K |
| Z1034 |
|
930 |
631 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
698 |
690 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
660 |
631 |
$35K |
| 59430 |
|
380 |
380 |
$23K |
| 88141 |
|
2,377 |
2,377 |
$21K |
| 58100 |
|
317 |
317 |
$12K |
| 59025 |
Fetal non-stress test |
344 |
126 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
154 |
153 |
$5K |
| H1000 |
Prenatal care, at-risk assessment |
31 |
31 |
$4K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$3K |
| 81025 |
|
611 |
606 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
36 |
36 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
27 |
25 |
$1K |
| 57454 |
|
16 |
16 |
$1K |
| 99000 |
|
367 |
363 |
$1K |