| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,161 |
3,997 |
$559K |
| 0502F |
|
3,550 |
1,886 |
$196K |
| 59025 |
Fetal non-stress test |
1,754 |
565 |
$58K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
59 |
59 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
841 |
619 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
473 |
440 |
$39K |
| 59430 |
|
196 |
147 |
$25K |
| 81002 |
|
5,152 |
2,521 |
$12K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
306 |
287 |
$9K |
| 76830 |
Ultrasound, transvaginal |
114 |
111 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
82 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
127 |
75 |
$5K |
| 0503F |
|
44 |
41 |
$5K |
| 76818 |
|
52 |
34 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
210 |
164 |
$3K |
| 81025 |
|
407 |
351 |
$2K |
| 76801 |
|
14 |
12 |
$1K |
| 99459 |
|
63 |
62 |
$906.44 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
46 |
45 |
$846.86 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
12 |
$647.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
46 |
$578.74 |
| 96160 |
|
15 |
15 |
$204.40 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
24 |
$20.50 |