| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,823 |
4,247 |
$434K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
303 |
295 |
$328K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,011 |
673 |
$91K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,223 |
1,193 |
$85K |
| 99215 |
Prolong outpt/office vis |
641 |
630 |
$81K |
| 81002 |
|
6,658 |
3,692 |
$22K |
| 59025 |
Fetal non-stress test |
507 |
220 |
$20K |
| 59430 |
|
112 |
111 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
769 |
760 |
$15K |
| 76801 |
|
126 |
122 |
$13K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
71 |
68 |
$2K |