| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,457 |
4,591 |
$397K |
| 59025 |
Fetal non-stress test |
5,397 |
1,625 |
$130K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,098 |
1,002 |
$66K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,241 |
1,129 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,238 |
2,028 |
$51K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
817 |
648 |
$50K |
| 99219 |
|
649 |
443 |
$41K |
| 0502F |
|
2,005 |
789 |
$17K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
29 |
25 |
$15K |
| 81025 |
|
2,322 |
1,966 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
644 |
606 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$2K |
| 59430 |
|
13 |
13 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$947.31 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$650.78 |