| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
489 |
457 |
$279K |
| 76830 |
Ultrasound, transvaginal |
3,145 |
2,794 |
$185K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,638 |
1,468 |
$126K |
| 76801 |
|
1,267 |
1,113 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,799 |
1,492 |
$55K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
650 |
562 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
472 |
396 |
$34K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
750 |
704 |
$31K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
964 |
740 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
376 |
304 |
$18K |
| 59514 |
|
12 |
12 |
$7K |
| 54160 |
|
54 |
36 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
295 |
277 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
93 |
60 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
102 |
$5K |
| 81025 |
|
1,061 |
781 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
41 |
40 |
$3K |
| 81002 |
|
1,466 |
1,007 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$892.58 |
| 59025 |
Fetal non-stress test |
38 |
30 |
$637.22 |
| 3078F |
|
246 |
205 |
$0.00 |
| 1159F |
|
127 |
70 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
163 |
147 |
$0.00 |
| 1160F |
|
127 |
70 |
$0.00 |
| 1036F |
|
433 |
359 |
$0.00 |
| 3074F |
|
326 |
265 |
$0.00 |
| 3008F |
|
482 |
386 |
$0.00 |