| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,139 |
1,686 |
$21K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
36 |
35 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
974 |
764 |
$14K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
568 |
398 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
366 |
271 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
71 |
70 |
$3K |
| 59430 |
|
41 |
41 |
$2K |
| 76801 |
|
130 |
109 |
$707.15 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
185 |
145 |
$648.70 |
| 81025 |
|
585 |
444 |
$517.77 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$447.95 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
18 |
16 |
$439.54 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
30 |
21 |
$410.41 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
13 |
12 |
$372.55 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
22 |
18 |
$352.62 |
| 81003 |
|
290 |
244 |
$84.42 |