| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
7,210 |
4,015 |
$388K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,094 |
909 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,180 |
804 |
$76K |
| 76801 |
|
526 |
474 |
$38K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
37 |
37 |
$34K |
| 0500F |
|
509 |
451 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
370 |
333 |
$27K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
228 |
155 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
163 |
155 |
$13K |
| 59025 |
Fetal non-stress test |
323 |
165 |
$11K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
252 |
195 |
$4K |
| 90686 |
|
180 |
98 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$2K |
| 90715 |
|
51 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
392 |
200 |
$0.00 |