| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,966 |
4,155 |
$328K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,849 |
4,768 |
$221K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
107 |
106 |
$60K |
| 59430 |
|
292 |
286 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
348 |
243 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
330 |
295 |
$12K |
| 59514 |
|
14 |
14 |
$7K |
| 76801 |
|
55 |
51 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
92 |
65 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
29 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
14 |
$1K |