| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,820 |
4,591 |
$281K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,835 |
1,553 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,560 |
1,389 |
$119K |
| 76830 |
Ultrasound, transvaginal |
1,662 |
1,555 |
$114K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
823 |
810 |
$65K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,485 |
1,420 |
$61K |
| 59426 |
|
37 |
37 |
$35K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
809 |
802 |
$18K |
| 59025 |
Fetal non-stress test |
400 |
179 |
$12K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$8K |
| 58558 |
|
12 |
12 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
38 |
38 |
$4K |
| 59430 |
|
13 |
12 |
$2K |
| 81025 |
|
266 |
261 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$962.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$696.51 |