| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,656 |
2,331 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,837 |
1,210 |
$110K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
373 |
346 |
$30K |
| 59514 |
|
58 |
52 |
$17K |
| 76801 |
|
166 |
149 |
$12K |
| 59430 |
|
103 |
95 |
$9K |
| 80305 |
|
857 |
645 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
12 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
178 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
90 |
29 |
$4K |
| 81025 |
|
671 |
597 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
56 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
84 |
80 |
$3K |
| 99406 |
|
29 |
25 |
$0.00 |