| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,812 |
6,129 |
$306K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,093 |
1,036 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,106 |
1,029 |
$46K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
310 |
302 |
$32K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
328 |
313 |
$27K |
| 81002 |
|
8,051 |
4,572 |
$19K |
| 99235 |
|
138 |
120 |
$18K |
| 59514 |
|
59 |
48 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
13 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
329 |
243 |
$7K |
| 76801 |
|
56 |
54 |
$5K |
| 76830 |
Ultrasound, transvaginal |
45 |
43 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
25 |
$2K |
| 59430 |
|
14 |
13 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
21 |
14 |
$854.64 |
| 81025 |
|
153 |
137 |
$798.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$168.72 |
| 85018 |
|
14 |
13 |
$23.88 |
| 99459 |
|
71 |
66 |
$0.00 |