| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,366 |
8,149 |
$415K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
340 |
331 |
$191K |
| 76830 |
Ultrasound, transvaginal |
1,808 |
1,699 |
$162K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,522 |
1,480 |
$140K |
| 59430 |
|
1,291 |
1,121 |
$110K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
732 |
707 |
$80K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
804 |
773 |
$71K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
804 |
766 |
$60K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
578 |
559 |
$40K |
| 76801 |
|
265 |
255 |
$25K |
| 81003 |
|
10,098 |
6,509 |
$17K |
| 81025 |
|
2,135 |
1,912 |
$13K |
| 76857 |
|
325 |
315 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
169 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
79 |
72 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
117 |
$2K |
| 99385 |
|
15 |
15 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$987.95 |
| 0502F |
|
24 |
18 |
$0.00 |