| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
238 |
211 |
$219K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,778 |
1,599 |
$71K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
672 |
633 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
884 |
655 |
$40K |
| 0502F |
|
328 |
188 |
$14K |
| 59025 |
Fetal non-stress test |
1,723 |
1,433 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
169 |
161 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
84 |
77 |
$2K |
| 54150 |
|
26 |
26 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
18 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
32 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$524.76 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
13 |
$289.23 |