| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
5,956 |
3,889 |
$312K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,781 |
2,046 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,278 |
1,007 |
$128K |
| 76818 |
|
1,419 |
759 |
$95K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
910 |
697 |
$64K |
| 76830 |
Ultrasound, transvaginal |
970 |
860 |
$63K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
951 |
858 |
$58K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
53 |
52 |
$49K |
| 59025 |
Fetal non-stress test |
671 |
442 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
283 |
204 |
$19K |
| 96127 |
|
1,257 |
926 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
170 |
156 |
$13K |
| 59430 |
|
50 |
41 |
$9K |
| 0503F |
|
51 |
40 |
$4K |
| 81003 |
|
1,897 |
1,351 |
$4K |
| 90686 |
|
34 |
30 |
$643.21 |
| 81025 |
|
114 |
96 |
$296.59 |
| 85018 |
|
16 |
14 |
$37.12 |
| 82962 |
|
15 |
13 |
$21.84 |