| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,134 |
2,008 |
$133K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,438 |
1,431 |
$115K |
| 59426 |
|
84 |
83 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,161 |
1,103 |
$51K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
37 |
37 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
195 |
$17K |
| 59430 |
|
46 |
44 |
$8K |
| 76830 |
Ultrasound, transvaginal |
84 |
83 |
$6K |
| 59025 |
Fetal non-stress test |
201 |
84 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
85 |
85 |
$5K |
| 76801 |
|
37 |
37 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
50 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| 0502F |
|
3,086 |
1,940 |
$0.00 |
| 0500F |
|
84 |
80 |
$0.00 |