| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,928 |
1,599 |
$89K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
68 |
67 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
352 |
271 |
$27K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
109 |
107 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
65 |
$2K |
| 58300 |
|
21 |
13 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
29 |
$1K |
| 81002 |
|
406 |
355 |
$1K |
| 81025 |
|
196 |
164 |
$990.44 |
| 96127 |
|
53 |
43 |
$764.82 |
| 59025 |
Fetal non-stress test |
65 |
60 |
$509.20 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$478.32 |
| 81003 |
|
205 |
129 |
$444.72 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$296.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
26 |
$274.68 |