| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,619 |
4,981 |
$287K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
435 |
427 |
$246K |
| 59514 |
|
277 |
259 |
$138K |
| 59430 |
|
823 |
778 |
$64K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
661 |
620 |
$63K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
330 |
328 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
980 |
895 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
148 |
140 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
114 |
105 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
82 |
79 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
54 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
77 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
40 |
39 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
27 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
806 |
472 |
$0.00 |