| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,071 |
1,200 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
241 |
174 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
269 |
231 |
$423.00 |
| 99401 |
|
316 |
181 |
$318.44 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$114.10 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
58 |
57 |
$109.81 |
| 96161 |
|
48 |
45 |
$0.00 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
49 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
16 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
38 |
$0.00 |
| 0502F |
|
15 |
12 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
30 |
$0.00 |