| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,824 |
2,829 |
$519K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,818 |
4,756 |
$475K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
396 |
374 |
$313K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
11,377 |
6,918 |
$91K |
| 99215 |
Prolong outpt/office vis |
677 |
629 |
$84K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
757 |
721 |
$84K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
478 |
454 |
$71K |
| 59430 |
|
555 |
523 |
$68K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
605 |
486 |
$39K |
| 76801 |
|
472 |
411 |
$37K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
565 |
513 |
$37K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
305 |
260 |
$24K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
196 |
95 |
$15K |
| H1000 |
Prenatal care, at-risk assessment |
382 |
368 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
147 |
137 |
$14K |
| 81002 |
|
6,638 |
3,752 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
102 |
100 |
$13K |
| 0503F |
|
460 |
417 |
$8K |
| 99051 |
|
792 |
668 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
101 |
88 |
$7K |
| 99459 |
|
462 |
348 |
$4K |
| 99234 |
|
16 |
15 |
$2K |
| 3015F |
|
110 |
105 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
15 |
$1K |
| 0500F |
|
35 |
27 |
$0.00 |