| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,624 |
1,053 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,352 |
852 |
$41K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
28 |
26 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
135 |
130 |
$11K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
122 |
117 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
129 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
62 |
59 |
$6K |
| 81002 |
|
2,810 |
1,696 |
$4K |
| 59430 |
|
27 |
25 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
25 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$628.47 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
16 |
$585.68 |
| 81025 |
|
27 |
24 |
$70.56 |