| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,161 |
4,008 |
$145K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
165 |
157 |
$88K |
| 99233 |
Prolong inpt eval add15 m |
1,436 |
606 |
$80K |
| 76830 |
Ultrasound, transvaginal |
205 |
183 |
$12K |
| 59430 |
|
316 |
258 |
$11K |
| 81002 |
|
2,944 |
1,737 |
$8K |
| 59514 |
|
12 |
12 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
24 |
$2K |
| 81025 |
|
478 |
441 |
$972.41 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
44 |
$870.98 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$292.54 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
106 |
78 |
$232.28 |
| 81000 |
|
259 |
159 |
$33.80 |