| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,590 |
4,067 |
$191K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
104 |
100 |
$127K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,298 |
1,216 |
$49K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
712 |
672 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
173 |
166 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
53 |
45 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
126 |
125 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$893.53 |
| 99233 |
Prolong inpt eval add15 m |
13 |
12 |
$804.00 |
| 59425 |
|
13 |
13 |
$568.18 |
| 88150 |
|
16 |
16 |
$116.71 |