| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,264 |
7,901 |
$875K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,284 |
1,283 |
$843K |
| 59025 |
Fetal non-stress test |
9,119 |
7,114 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,310 |
1,218 |
$144K |
| 59514 |
|
209 |
192 |
$136K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
731 |
700 |
$122K |
| Z1034 |
|
1,556 |
965 |
$83K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
627 |
622 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
218 |
218 |
$21K |
| 76830 |
Ultrasound, transvaginal |
142 |
130 |
$17K |
| 93976 |
|
58 |
51 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
71 |
66 |
$8K |
| Z1032 |
|
38 |
38 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
68 |
$3K |
| 81025 |
|
361 |
348 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
30 |
30 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
25 |
25 |
$360.67 |