| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,369 |
1,971 |
$85K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
82 |
81 |
$49K |
| 59514 |
|
41 |
41 |
$24K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
273 |
268 |
$23K |
| 59430 |
|
213 |
213 |
$19K |
| 76801 |
|
85 |
82 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
55 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
51 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
42 |
$2K |
| 81025 |
|
277 |
270 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$601.38 |
| 87210 |
|
13 |
13 |
$46.64 |