| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
108 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
43 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
153 |
140 |
$521.93 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
259 |
233 |
$85.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
94 |
89 |
$0.00 |
| 59426 |
|
196 |
180 |
$0.00 |
| 01960 |
|
108 |
100 |
$0.00 |
| 81000 |
|
2,671 |
1,601 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
421 |
337 |
$0.00 |