| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,753 |
7,940 |
$390K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
299 |
298 |
$171K |
| 59430 |
|
1,055 |
967 |
$82K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,025 |
988 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,395 |
1,161 |
$66K |
| 76830 |
Ultrasound, transvaginal |
686 |
632 |
$60K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
402 |
396 |
$42K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
440 |
421 |
$32K |
| 81002 |
|
10,848 |
6,820 |
$25K |
| 59410 |
|
27 |
27 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
186 |
180 |
$14K |
| 59515 |
|
13 |
13 |
$10K |
| 59514 |
|
14 |
14 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
69 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
280 |
266 |
$5K |
| 99000 |
|
388 |
374 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
247 |
225 |
$3K |
| 76818 |
|
23 |
12 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$2K |
| 59025 |
Fetal non-stress test |
31 |
17 |
$515.17 |
| 81025 |
|
69 |
69 |
$379.48 |
| 0502F |
|
624 |
425 |
$0.00 |