| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,034 |
621 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
966 |
649 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192 |
158 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
170 |
151 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
57 |
41 |
$4K |
| 59430 |
|
26 |
26 |
$2K |
| 81025 |
|
17 |
12 |
$87.89 |