| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,100 |
734 |
$52K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
36 |
36 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
94 |
86 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
71 |
65 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
144 |
109 |
$5K |