| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,407 |
3,157 |
$209K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,106 |
1,636 |
$135K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
585 |
533 |
$36K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
208 |
199 |
$19K |
| 81002 |
|
4,581 |
3,386 |
$10K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$8K |
| 59430 |
|
71 |
67 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
51 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
175 |
141 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
43 |
40 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
15 |
$960.41 |
| 81025 |
|
69 |
59 |
$386.76 |