| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
264 |
264 |
$233K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,826 |
1,825 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,894 |
2,804 |
$140K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,774 |
1,656 |
$86K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
102 |
102 |
$78K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
610 |
610 |
$55K |
| 59430 |
|
192 |
192 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
489 |
477 |
$36K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
102 |
101 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
596 |
581 |
$8K |
| 76801 |
|
80 |
77 |
$5K |
| 76830 |
Ultrasound, transvaginal |
70 |
70 |
$5K |
| 99459 |
|
201 |
201 |
$3K |
| 99385 |
|
25 |
25 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 54150 |
|
12 |
12 |
$618.86 |