| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,575 |
6,281 |
$387K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
380 |
369 |
$205K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
464 |
450 |
$50K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
528 |
518 |
$43K |
| 59430 |
|
297 |
294 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
337 |
327 |
$26K |
| 81002 |
|
7,775 |
5,612 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
580 |
534 |
$18K |
| 76801 |
|
134 |
127 |
$12K |
| 81025 |
|
1,219 |
1,173 |
$8K |
| 59514 |
|
12 |
12 |
$8K |
| 76830 |
Ultrasound, transvaginal |
58 |
56 |
$5K |
| 0500F |
|
39 |
39 |
$0.00 |
| 99080 |
|
100 |
100 |
$0.00 |