| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,862 |
4,075 |
$287K |
| 76830 |
Ultrasound, transvaginal |
1,362 |
1,281 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
876 |
748 |
$78K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
24 |
24 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
832 |
746 |
$26K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
29 |
26 |
$1K |
| 59025 |
Fetal non-stress test |
28 |
12 |
$880.01 |
| 81025 |
|
109 |
99 |
$775.83 |
| 99459 |
|
38 |
37 |
$546.45 |
| 81002 |
|
19 |
14 |
$38.36 |
| 0502F |
|
29 |
25 |
$0.00 |
| S9999 |
Sales tax |
38 |
26 |
$0.00 |