| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,017 |
1,276 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,139 |
2,915 |
$126K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,276 |
923 |
$112K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,195 |
879 |
$76K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
401 |
368 |
$41K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
198 |
190 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
425 |
421 |
$36K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
40 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
549 |
529 |
$17K |
| 76830 |
Ultrasound, transvaginal |
274 |
272 |
$15K |
| 59025 |
Fetal non-stress test |
410 |
261 |
$13K |
| 99215 |
Prolong outpt/office vis |
70 |
69 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
212 |
211 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
290 |
215 |
$8K |
| 59430 |
|
77 |
70 |
$7K |
| 97010 |
|
112 |
87 |
$6K |
| Z1034 |
|
104 |
63 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
62 |
$5K |
| 76801 |
|
55 |
54 |
$4K |
| 51700 |
|
33 |
24 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
65 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26 |
24 |
$2K |
| 97750 |
|
23 |
13 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
26 |
25 |
$892.28 |
| 76820 |
|
16 |
13 |
$510.41 |
| 81025 |
|
102 |
97 |
$420.30 |
| 81002 |
|
13 |
12 |
$19.43 |