| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,702 |
2,697 |
$147K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
41 |
39 |
$33K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
197 |
182 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
80 |
$6K |
| 59430 |
|
86 |
82 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
58 |
54 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
67 |
58 |
$4K |
| 59025 |
Fetal non-stress test |
65 |
24 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
36 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
42 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$939.40 |