| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,640 |
3,843 |
$330K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,390 |
1,409 |
$222K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,059 |
856 |
$80K |
| 59025 |
Fetal non-stress test |
1,997 |
974 |
$72K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
585 |
546 |
$58K |
| 99215 |
Prolong outpt/office vis |
381 |
359 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
395 |
337 |
$37K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
24 |
$25K |
| 59430 |
|
44 |
42 |
$6K |
| 81002 |
|
1,820 |
1,478 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$4K |
| 81025 |
|
123 |
114 |
$900.90 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
127 |
104 |
$57.36 |