| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,659 |
20,192 |
$1.33M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
386 |
381 |
$370K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,025 |
8,434 |
$323K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,095 |
3,050 |
$312K |
| 59025 |
Fetal non-stress test |
8,599 |
7,046 |
$291K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
7,353 |
7,121 |
$276K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
5,131 |
3,419 |
$197K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,975 |
1,948 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,077 |
1,912 |
$171K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,170 |
3,216 |
$159K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,252 |
4,076 |
$153K |
| 76820 |
|
1,709 |
1,210 |
$83K |
| 76830 |
Ultrasound, transvaginal |
1,479 |
1,445 |
$50K |
| 76801 |
|
1,058 |
1,001 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
392 |
386 |
$39K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,320 |
1,299 |
$38K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
976 |
912 |
$18K |
| 99221 |
|
114 |
108 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
86 |
44 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$2K |
| 76813 |
|
40 |
37 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$772.54 |
| 0502F |
|
15 |
12 |
$0.00 |