| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
3,328 |
1,970 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
893 |
846 |
$27K |
| 99243 |
|
363 |
363 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
442 |
424 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
224 |
224 |
$17K |
| 99215 |
Prolong outpt/office vis |
93 |
93 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
51 |
51 |
$4K |
| 59430 |
|
45 |
42 |
$3K |
| 3351F |
|
18 |
18 |
$1K |
| 3353F |
|
13 |
13 |
$975.00 |
| 96127 |
|
14 |
14 |
$66.64 |
| 81025 |
|
14 |
12 |
$38.78 |