| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,232 |
3,757 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,487 |
3,253 |
$159K |
| 76830 |
Ultrasound, transvaginal |
1,363 |
1,127 |
$118K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,304 |
1,171 |
$98K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
172 |
146 |
$81K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
668 |
626 |
$63K |
| 59430 |
|
470 |
393 |
$34K |
| 81002 |
|
9,580 |
5,404 |
$24K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
326 |
267 |
$22K |
| 59025 |
Fetal non-stress test |
552 |
245 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
222 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
296 |
243 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
87 |
$7K |
| 76801 |
|
45 |
41 |
$4K |
| 81025 |
|
264 |
246 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$306.78 |