| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,886 |
3,456 |
$162K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
145 |
136 |
$81K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
576 |
549 |
$61K |
| 76830 |
Ultrasound, transvaginal |
554 |
539 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
863 |
653 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
343 |
335 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
183 |
177 |
$16K |
| 59430 |
|
140 |
136 |
$12K |
| 81002 |
|
4,099 |
2,738 |
$11K |
| 81025 |
|
728 |
689 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$1K |
| 96127 |
|
86 |
84 |
$0.00 |