| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,199 |
2,856 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,138 |
865 |
$70K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
64 |
63 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
479 |
403 |
$44K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
329 |
237 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
313 |
281 |
$21K |
| 59025 |
Fetal non-stress test |
741 |
484 |
$21K |
| 76830 |
Ultrasound, transvaginal |
268 |
234 |
$17K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
230 |
208 |
$15K |
| 76818 |
|
193 |
100 |
$13K |
| 96127 |
|
443 |
324 |
$6K |
| 81003 |
|
2,087 |
1,430 |
$4K |
| 0503F |
|
14 |
14 |
$709.63 |
| 90686 |
|
18 |
14 |
$323.68 |
| 81025 |
|
45 |
36 |
$114.30 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
15 |
$65.60 |
| 82962 |
|
39 |
26 |
$65.60 |
| 85018 |
|
24 |
12 |
$55.83 |