| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,390 |
3,217 |
$307K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
241 |
237 |
$252K |
| 59430 |
|
225 |
224 |
$25K |
| 81002 |
|
6,265 |
4,079 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
124 |
112 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
211 |
194 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
162 |
$16K |
| 81025 |
|
483 |
448 |
$4K |
| 85018 |
|
1,229 |
1,181 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
28 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
157 |
127 |
$3K |
| 81003 |
|
172 |
158 |
$435.36 |