| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
349 |
322 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,656 |
4,989 |
$260K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
617 |
580 |
$54K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
880 |
772 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
407 |
392 |
$30K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
293 |
279 |
$20K |
| 59430 |
|
298 |
288 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
151 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
225 |
204 |
$13K |
| 59410 |
|
16 |
16 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
186 |
$12K |
| 76830 |
Ultrasound, transvaginal |
132 |
114 |
$7K |
| 59025 |
Fetal non-stress test |
85 |
40 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
28 |
13 |
$2K |