| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
624 |
612 |
$568K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,156 |
5,056 |
$333K |
| 0502F |
|
4,670 |
2,513 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,916 |
1,540 |
$139K |
| 76818 |
|
1,794 |
722 |
$108K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,441 |
1,294 |
$97K |
| 76830 |
Ultrasound, transvaginal |
1,381 |
1,281 |
$93K |
| 59025 |
Fetal non-stress test |
2,698 |
916 |
$89K |
| 76820 |
|
1,091 |
412 |
$76K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
701 |
678 |
$59K |
| 59514 |
|
49 |
49 |
$52K |
| H1000 |
Prenatal care, at-risk assessment |
2,472 |
2,073 |
$36K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
402 |
347 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
600 |
521 |
$25K |
| 96160 |
|
1,421 |
1,370 |
$20K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
59 |
53 |
$4K |
| 99385 |
|
27 |
27 |
$3K |
| 59430 |
|
34 |
24 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
37 |
37 |
$3K |
| 0500F |
|
31 |
31 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$1K |
| 96127 |
|
37 |
25 |
$236.76 |