| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
5,432 |
2,542 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,933 |
1,952 |
$264K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
116 |
116 |
$107K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
354 |
260 |
$25K |
| 0503F |
|
129 |
74 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
137 |
71 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
159 |
80 |
$8K |
| 76820 |
|
74 |
26 |
$5K |
| 59430 |
|
23 |
13 |
$3K |
| 76801 |
|
30 |
25 |
$2K |
| 96127 |
|
127 |
89 |
$2K |