| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,899 |
3,427 |
$178K |
| 59430 |
|
956 |
748 |
$68K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
115 |
90 |
$46K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
420 |
335 |
$34K |
| 81002 |
|
6,875 |
3,384 |
$15K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
268 |
204 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
79 |
58 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
160 |
139 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
64 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
24 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$827.19 |
| 81025 |
|
15 |
13 |
$101.22 |