| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
8,668 |
4,930 |
$443K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
296 |
276 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,389 |
2,987 |
$153K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,478 |
1,429 |
$123K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,525 |
972 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,410 |
1,166 |
$92K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
860 |
730 |
$61K |
| 76801 |
|
844 |
752 |
$58K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
787 |
700 |
$53K |
| 0500F |
|
768 |
709 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
436 |
397 |
$18K |
| 0503F |
|
322 |
308 |
$16K |
| 84703 |
|
1,935 |
1,624 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
189 |
177 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
79 |
68 |
$7K |
| 81002 |
|
2,559 |
2,213 |
$6K |
| 85018 |
|
2,052 |
1,772 |
$5K |
| 54150 |
|
51 |
51 |
$4K |
| 59430 |
|
18 |
13 |
$3K |
| 59025 |
Fetal non-stress test |
74 |
69 |
$1K |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$958.66 |