| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,314 |
3,777 |
$194K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
274 |
248 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,062 |
1,709 |
$87K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
449 |
436 |
$47K |
| 59430 |
|
521 |
486 |
$41K |
| 76830 |
Ultrasound, transvaginal |
289 |
282 |
$26K |
| 81002 |
|
7,427 |
3,909 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
224 |
158 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
241 |
216 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
185 |
150 |
$11K |
| H0049 |
Alcohol and/or drug screening |
1,266 |
991 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
810 |
692 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
176 |
150 |
$10K |
| 59025 |
Fetal non-stress test |
145 |
65 |
$5K |
| 87210 |
|
1,071 |
937 |
$4K |
| 87220 |
|
1,220 |
864 |
$2K |
| 81025 |
|
294 |
279 |
$2K |
| 99000 |
|
143 |
115 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
36 |
$799.70 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$497.55 |
| 0502F |
|
5,171 |
2,758 |
$2.92 |
| 0500F |
|
480 |
467 |
$0.00 |
| 0501F |
|
581 |
574 |
$0.00 |
| 0503F |
|
473 |
452 |
$0.00 |
| 3008F |
|
4,243 |
3,611 |
$0.00 |