| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
313 |
306 |
$182K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,562 |
4,234 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,443 |
2,367 |
$117K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,555 |
1,380 |
$114K |
| 76830 |
Ultrasound, transvaginal |
782 |
765 |
$74K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
475 |
471 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
393 |
384 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
689 |
663 |
$31K |
| 81002 |
|
10,608 |
7,125 |
$27K |
| 59430 |
|
285 |
277 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
306 |
295 |
$22K |
| 59025 |
Fetal non-stress test |
452 |
194 |
$17K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
121 |
117 |
$16K |
| 81025 |
|
2,135 |
2,041 |
$14K |
| 90674 |
|
51 |
51 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
50 |
$485.40 |