| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,527 |
4,381 |
$258K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
285 |
230 |
$191K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,344 |
1,243 |
$128K |
| 59514 |
|
127 |
88 |
$73K |
| 59025 |
Fetal non-stress test |
1,988 |
689 |
$63K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
681 |
633 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
913 |
835 |
$55K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
748 |
623 |
$43K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
465 |
439 |
$31K |
| 76830 |
Ultrasound, transvaginal |
382 |
357 |
$25K |
| 59430 |
|
344 |
315 |
$23K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$877.61 |