| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,546 |
3,459 |
$154K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
217 |
209 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,673 |
1,405 |
$78K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
491 |
472 |
$50K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
502 |
480 |
$37K |
| 99000 |
|
3,601 |
3,141 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,210 |
979 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
530 |
511 |
$27K |
| 81002 |
|
7,412 |
4,932 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
111 |
98 |
$8K |
| 59430 |
|
62 |
62 |
$5K |
| 81025 |
|
518 |
498 |
$4K |
| 76801 |
|
15 |
13 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$474.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |