| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,042 |
4,352 |
$243K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
204 |
201 |
$123K |
| 76830 |
Ultrasound, transvaginal |
1,142 |
1,089 |
$103K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,342 |
1,190 |
$98K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
901 |
863 |
$70K |
| 81002 |
|
8,778 |
5,799 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
306 |
296 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
633 |
604 |
$14K |
| 81025 |
|
2,267 |
2,129 |
$14K |
| 59025 |
Fetal non-stress test |
290 |
158 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
96 |
90 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
191 |
$9K |
| 59430 |
|
78 |
78 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
42 |
41 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 90674 |
|
28 |
27 |
$821.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$368.94 |