| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,402 |
4,161 |
$217K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
289 |
270 |
$157K |
| 76818 |
|
1,330 |
669 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,293 |
1,877 |
$110K |
| 59514 |
|
134 |
129 |
$85K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
913 |
826 |
$77K |
| 59025 |
Fetal non-stress test |
1,313 |
586 |
$45K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
752 |
731 |
$39K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
306 |
300 |
$33K |
| 59430 |
|
362 |
351 |
$31K |
| 81002 |
|
8,538 |
4,354 |
$22K |
| 54150 |
|
310 |
297 |
$22K |
| 76813 |
|
196 |
192 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
263 |
258 |
$15K |
| 81025 |
|
2,173 |
1,884 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
356 |
305 |
$14K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
292 |
260 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
56 |
52 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$858.91 |