| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,609 |
1,461 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
446 |
414 |
$15K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
40 |
17 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
81 |
$8K |
| 99205 |
Prolong outpt/office vis |
32 |
31 |
$4K |
| 76830 |
Ultrasound, transvaginal |
55 |
50 |
$3K |
| G9357 |
Post-partum screenings, evaluations and education performed |
29 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$265.84 |
| 3078F |
|
79 |
78 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
21 |
20 |
$0.00 |
| 3074F |
|
101 |
100 |
$0.00 |