| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,526 |
1,284 |
$284K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,805 |
1,199 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,523 |
1,185 |
$36K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
58 |
56 |
$29K |
| 99215 |
Prolong outpt/office vis |
338 |
258 |
$6K |
| 81002 |
|
2,765 |
1,784 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
114 |
96 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
90 |
81 |
$2K |
| 99205 |
Prolong outpt/office vis |
93 |
89 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
63 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
36 |
27 |
$730.80 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$559.50 |
| 59430 |
|
27 |
25 |
$540.96 |
| 81025 |
|
311 |
300 |
$452.45 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
22 |
12 |
$321.25 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
16 |
$281.06 |
| 81000 |
|
192 |
160 |
$107.31 |