| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,362 |
2,123 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,134 |
1,729 |
$151K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
735 |
689 |
$61K |
| 59025 |
Fetal non-stress test |
1,840 |
658 |
$60K |
| 76830 |
Ultrasound, transvaginal |
814 |
711 |
$57K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
642 |
622 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
998 |
822 |
$46K |
| 96160 |
|
2,473 |
2,255 |
$35K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
29 |
28 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
260 |
164 |
$18K |
| 0500F |
|
228 |
178 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
103 |
66 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
95 |
89 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
175 |
156 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
41 |
$3K |
| 0503F |
|
32 |
25 |
$2K |
| 99386 |
|
15 |
15 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$905.45 |
| 96127 |
|
60 |
56 |
$878.92 |
| 87210 |
|
33 |
25 |
$155.10 |
| 81002 |
|
50 |
41 |
$120.90 |
| A4559 |
Coupling gel or paste, for use with ultrasound device, per oz |
34 |
27 |
$0.00 |