| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,189 |
2,532 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,362 |
2,069 |
$111K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
717 |
650 |
$62K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
88 |
84 |
$48K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
202 |
202 |
$27K |
| 99000 |
|
2,455 |
2,199 |
$25K |
| 59430 |
|
344 |
333 |
$24K |
| 81002 |
|
7,096 |
3,903 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
173 |
164 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
28 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
19 |
13 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| H0049 |
Alcohol and/or drug screening |
84 |
76 |
$1K |