| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,577 |
3,361 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,296 |
1,561 |
$106K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
134 |
126 |
$71K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
813 |
763 |
$47K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
367 |
333 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
271 |
254 |
$21K |
| 59430 |
|
205 |
177 |
$18K |
| 81002 |
|
6,556 |
3,582 |
$17K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
197 |
152 |
$10K |
| 59025 |
Fetal non-stress test |
113 |
51 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
215 |
170 |
$2K |
| 81025 |
|
199 |
175 |
$1K |