| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
1,316 |
952 |
$31K |
| Z1034 |
|
471 |
335 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
349 |
349 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
688 |
642 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
410 |
398 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
190 |
187 |
$9K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$7K |
| Z1032 |
|
13 |
13 |
$2K |
| 59430 |
|
29 |
29 |
$1K |
| 99215 |
Prolong outpt/office vis |
61 |
61 |
$813.49 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
43 |
42 |
$487.47 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$377.28 |