| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
2,083 |
1,488 |
$98K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
85 |
42 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
987 |
804 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
419 |
331 |
$33K |
| 76830 |
Ultrasound, transvaginal |
116 |
104 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
92 |
84 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
51 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
31 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
41 |
41 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
27 |
$2K |
| 0503F |
|
38 |
29 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
45 |
23 |
$2K |
| 76801 |
|
12 |
12 |
$862.80 |
| 81025 |
|
172 |
132 |
$857.59 |