| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
3,710 |
2,191 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
828 |
538 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,677 |
1,336 |
$80K |
| 99205 |
Prolong outpt/office vis |
235 |
209 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
97 |
85 |
$6K |
| 81025 |
|
1,045 |
898 |
$5K |
| 81002 |
|
1,669 |
1,157 |
$3K |
| 99215 |
Prolong outpt/office vis |
62 |
58 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
38 |
38 |
$2K |
| 59025 |
Fetal non-stress test |
51 |
26 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$934.70 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16 |
12 |
$803.84 |
| 81001 |
|
21 |
16 |
$42.90 |