| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,634 |
1,143 |
$142K |
| 0502F |
|
1,493 |
968 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
823 |
692 |
$76K |
| 76818 |
|
803 |
454 |
$56K |
| 76830 |
Ultrasound, transvaginal |
620 |
572 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
633 |
588 |
$38K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
400 |
317 |
$28K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
29 |
26 |
$26K |
| 59430 |
|
89 |
59 |
$12K |
| 96127 |
|
438 |
296 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
37 |
$3K |
| 59025 |
Fetal non-stress test |
103 |
89 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$2K |
| 0503F |
|
14 |
13 |
$1K |