| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,680 |
5,843 |
$290K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
213 |
210 |
$126K |
| 59514 |
|
154 |
152 |
$103K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
761 |
749 |
$79K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
735 |
715 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
784 |
753 |
$42K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
662 |
619 |
$40K |
| 59430 |
|
322 |
318 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
617 |
605 |
$30K |
| 81002 |
|
8,051 |
5,193 |
$19K |
| 99000 |
|
1,270 |
1,142 |
$13K |
| 81025 |
|
972 |
931 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
45 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 59025 |
Fetal non-stress test |
21 |
13 |
$767.43 |
| 0503F |
|
326 |
320 |
$0.00 |
| 0500F |
|
448 |
426 |
$0.00 |
| 0501F |
|
87 |
81 |
$0.00 |
| 96127 |
|
42 |
41 |
$0.00 |
| 0502F |
|
7,753 |
4,957 |
$0.00 |