| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
5,405 |
3,173 |
$262K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
200 |
194 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,578 |
3,037 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,571 |
1,299 |
$115K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
852 |
738 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
562 |
525 |
$47K |
| 0500F |
|
585 |
531 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
383 |
339 |
$10K |
| 99385 |
|
58 |
57 |
$6K |
| 59025 |
Fetal non-stress test |
430 |
382 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
63 |
54 |
$4K |
| 76801 |
|
52 |
51 |
$4K |
| 58120 |
|
14 |
14 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
192 |
172 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$1K |
| 99386 |
|
13 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$966.08 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$862.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
12 |
$470.40 |