| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,479 |
4,169 |
$144K |
| Z1034 |
|
1,190 |
584 |
$65K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
161 |
161 |
$50K |
| 59425 |
|
448 |
213 |
$31K |
| 76830 |
Ultrasound, transvaginal |
251 |
184 |
$13K |
| Z1032 |
|
84 |
84 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
66 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
135 |
121 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
79 |
$5K |
| 99205 |
Prolong outpt/office vis |
255 |
255 |
$429.53 |
| 59025 |
Fetal non-stress test |
21 |
14 |
$148.59 |