| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,783 |
2,470 |
$173K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,331 |
1,056 |
$108K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
605 |
438 |
$38K |
| 99215 |
Prolong outpt/office vis |
438 |
281 |
$30K |
| 81002 |
|
6,381 |
3,825 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
456 |
326 |
$15K |
| 59430 |
|
109 |
104 |
$9K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
14 |
$9K |
| 81025 |
|
675 |
629 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
42 |
42 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
14 |
14 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$878.46 |
| 99459 |
|
120 |
86 |
$0.00 |