| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,765 |
3,788 |
$238K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,916 |
4,850 |
$205K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,076 |
1,004 |
$80K |
| 76830 |
Ultrasound, transvaginal |
888 |
742 |
$73K |
| 76818 |
|
410 |
174 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
416 |
398 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
199 |
193 |
$19K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
234 |
223 |
$17K |
| 59430 |
|
181 |
174 |
$16K |
| 81002 |
|
5,996 |
3,146 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
81 |
$6K |
| 99215 |
Prolong outpt/office vis |
77 |
65 |
$5K |
| 81025 |
|
232 |
221 |
$1K |
| 76813 |
|
12 |
12 |
$851.52 |