| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,483 |
7,509 |
$399K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
791 |
773 |
$80K |
| 59430 |
|
602 |
571 |
$55K |
| 81002 |
|
11,769 |
7,263 |
$33K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
447 |
417 |
$33K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
26 |
26 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
139 |
96 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
231 |
221 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$3K |
| 76801 |
|
25 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$646.92 |