| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,834 |
792 |
$198K |
| 0502F |
|
3,153 |
2,089 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,122 |
704 |
$64K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
41 |
41 |
$38K |
| 76830 |
Ultrasound, transvaginal |
389 |
321 |
$27K |
| 59025 |
Fetal non-stress test |
481 |
326 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
197 |
170 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
148 |
$4K |
| 81002 |
|
1,577 |
1,197 |
$4K |
| 96127 |
|
248 |
207 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
190 |
169 |
$3K |
| 81025 |
|
562 |
415 |
$3K |
| 0500F |
|
51 |
51 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
14 |
$1K |
| 90686 |
|
34 |
32 |
$671.61 |
| 90656 |
|
15 |
15 |
$306.91 |