| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
4,094 |
2,166 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,592 |
825 |
$194K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
312 |
288 |
$22K |
| 0500F |
|
193 |
175 |
$17K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$11K |
| 59430 |
|
89 |
55 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
186 |
170 |
$9K |
| 76801 |
|
101 |
89 |
$7K |
| 96127 |
|
343 |
283 |
$5K |
| 0503F |
|
49 |
44 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
44 |
42 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
158 |
134 |
$324.40 |
| 81025 |
|
35 |
32 |
$175.77 |