| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
5,284 |
3,699 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,352 |
1,038 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,955 |
1,520 |
$124K |
| 76818 |
|
1,329 |
776 |
$90K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
873 |
704 |
$61K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
895 |
817 |
$54K |
| 76830 |
Ultrasound, transvaginal |
829 |
735 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
259 |
206 |
$18K |
| 59025 |
Fetal non-stress test |
547 |
379 |
$17K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$12K |
| 96127 |
|
794 |
606 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
81 |
$7K |
| 81003 |
|
1,945 |
1,424 |
$4K |
| 59430 |
|
20 |
12 |
$3K |
| 0503F |
|
18 |
14 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$1K |
| 90686 |
|
29 |
24 |
$526.76 |
| 81025 |
|
63 |
52 |
$202.95 |
| 85018 |
|
15 |
12 |
$34.92 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
12 |
$32.80 |
| 82962 |
|
16 |
12 |
$26.88 |