| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,661 |
1,268 |
$104K |
| 54150 |
|
375 |
374 |
$45K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
591 |
560 |
$39K |
| 59025 |
Fetal non-stress test |
424 |
182 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
19 |
19 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
66 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
122 |
122 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
37 |
37 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
31 |
31 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$664.79 |