| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
4,362 |
2,744 |
$389K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,725 |
1,497 |
$282K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,050 |
4,786 |
$266K |
| 76801 |
|
2,077 |
1,812 |
$192K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,743 |
1,716 |
$167K |
| 76830 |
Ultrasound, transvaginal |
1,644 |
1,552 |
$161K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,163 |
1,155 |
$113K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
865 |
659 |
$62K |
| 59514 |
|
267 |
267 |
$59K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
361 |
338 |
$40K |
| 76813 |
|
248 |
237 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
422 |
422 |
$30K |
| Z1034 |
|
234 |
136 |
$13K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$8K |
| 59025 |
Fetal non-stress test |
302 |
255 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
75 |
$3K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |