| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,677 |
4,266 |
$224K |
| 76818 |
|
742 |
343 |
$67K |
| 59514 |
|
188 |
185 |
$62K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
848 |
773 |
$60K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
410 |
409 |
$43K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
63 |
63 |
$36K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
414 |
397 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
728 |
714 |
$33K |
| 54161 |
|
155 |
153 |
$24K |
| 81000 |
|
5,549 |
3,857 |
$18K |
| 81025 |
|
2,348 |
2,081 |
$16K |
| 59430 |
|
116 |
114 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
128 |
$7K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
15 |
$1K |
| 99072 |
|
26 |
25 |
$0.00 |