| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,373 |
4,604 |
$432K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,491 |
5,829 |
$313K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
281 |
268 |
$150K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
842 |
756 |
$73K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,682 |
905 |
$65K |
| 59514 |
|
100 |
86 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
596 |
556 |
$52K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
961 |
865 |
$46K |
| 76801 |
|
389 |
307 |
$29K |
| 59430 |
|
339 |
319 |
$28K |
| 81002 |
|
10,699 |
5,731 |
$28K |
| 99222 |
Initial hospital care, per day, moderate complexity |
363 |
321 |
$27K |
| 76830 |
Ultrasound, transvaginal |
292 |
282 |
$26K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
429 |
397 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
310 |
298 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
327 |
303 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
269 |
263 |
$17K |
| 81025 |
|
1,761 |
1,631 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
117 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
91 |
80 |
$6K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$837.40 |
| 96160 |
|
13 |
12 |
$0.00 |