| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
5,248 |
3,491 |
$277K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,868 |
1,407 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,258 |
995 |
$123K |
| 76818 |
|
1,020 |
583 |
$67K |
| 76830 |
Ultrasound, transvaginal |
941 |
831 |
$62K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
957 |
865 |
$57K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
815 |
607 |
$56K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
50 |
50 |
$46K |
| 96127 |
|
901 |
693 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
120 |
108 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
146 |
115 |
$10K |
| 59025 |
Fetal non-stress test |
352 |
234 |
$10K |
| 59430 |
|
29 |
28 |
$5K |
| 81003 |
|
1,719 |
1,242 |
$4K |
| 90686 |
|
61 |
44 |
$1K |
| 0503F |
|
13 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$735.27 |
| 90661 |
|
16 |
13 |
$492.17 |
| 81025 |
|
79 |
65 |
$279.33 |