| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
7,410 |
4,729 |
$643K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,738 |
2,485 |
$110K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
145 |
145 |
$95K |
| 59514 |
|
96 |
96 |
$46K |
| 99205 |
Prolong outpt/office vis |
236 |
236 |
$39K |
| 76801 |
|
367 |
365 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
202 |
201 |
$20K |
| 59430 |
|
80 |
80 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 81025 |
|
29 |
27 |
$75.60 |