| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,401 |
861 |
$48K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
17 |
17 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
55 |
42 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
22 |
16 |
$1K |
| 59430 |
|
12 |
12 |
$1K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
475 |
329 |
$0.00 |
| 1036F |
|
850 |
589 |
$0.00 |