| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,164 |
8,362 |
$909K |
| 59025 |
Fetal non-stress test |
2,806 |
1,345 |
$91K |
| 76818 |
|
1,113 |
952 |
$75K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,532 |
1,295 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
810 |
744 |
$58K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
669 |
515 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
435 |
406 |
$34K |
| 76820 |
|
1,161 |
984 |
$33K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
435 |
402 |
$28K |
| 76830 |
Ultrasound, transvaginal |
390 |
359 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
331 |
307 |
$16K |
| 59514 |
|
12 |
12 |
$12K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$10K |
| 81025 |
|
908 |
809 |
$6K |
| 59430 |
|
13 |
13 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$873.29 |
| 54150 |
|
15 |
13 |
$737.20 |