| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,056 |
6,674 |
$459K |
| 59514 |
|
671 |
621 |
$255K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,314 |
1,220 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
680 |
652 |
$65K |
| 80305 |
|
5,362 |
4,643 |
$50K |
| 59430 |
|
537 |
518 |
$49K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
81 |
77 |
$47K |
| 76801 |
|
416 |
395 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
418 |
395 |
$26K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
158 |
55 |
$10K |
| 81025 |
|
1,692 |
1,564 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
40 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
100 |
86 |
$1K |
| 0501F |
|
690 |
653 |
$0.00 |
| 3074F |
|
392 |
290 |
$0.00 |
| 0503F |
|
420 |
409 |
$0.00 |
| 3008F |
|
278 |
208 |
$0.00 |
| 2001F |
|
37 |
35 |
$0.00 |
| 2010F |
|
49 |
47 |
$0.00 |
| 0502F |
|
7,873 |
4,649 |
$0.00 |
| 3078F |
|
382 |
280 |
$0.00 |