| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,327 |
2,309 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,704 |
1,524 |
$179K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
195 |
150 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$13K |
| 0503F |
|
192 |
159 |
$12K |
| 76820 |
|
110 |
77 |
$7K |
| 59430 |
|
36 |
24 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
52 |
39 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
26 |
$3K |
| 93975 |
|
13 |
13 |
$2K |
| 0500F |
|
45 |
39 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
24 |
12 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
44 |
38 |
$642.40 |
| 96127 |
|
35 |
29 |
$510.38 |