| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,545 |
19,036 |
$1.01M |
| 59410 |
|
874 |
847 |
$607K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
609 |
602 |
$351K |
| 59515 |
|
438 |
415 |
$341K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,088 |
2,023 |
$211K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,186 |
2,131 |
$135K |
| 76830 |
Ultrasound, transvaginal |
1,511 |
1,268 |
$133K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,263 |
2,185 |
$117K |
| 59514 |
|
171 |
170 |
$113K |
| 59025 |
Fetal non-stress test |
2,762 |
1,499 |
$96K |
| 59430 |
|
1,691 |
1,487 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,928 |
1,853 |
$82K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,076 |
990 |
$72K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
930 |
858 |
$59K |
| 81003 |
|
27,828 |
15,418 |
$44K |
| 99234 |
|
218 |
205 |
$20K |
| 81025 |
|
2,547 |
2,355 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
783 |
499 |
$8K |
| 87800 |
|
227 |
213 |
$6K |
| 76801 |
|
56 |
50 |
$4K |
| 87490 |
|
165 |
155 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
30 |
29 |
$2K |
| 0503F |
|
205 |
204 |
$0.00 |
| 0500F |
|
319 |
316 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
21 |
12 |
$0.00 |