| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
6,158 |
3,346 |
$268K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
152 |
151 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,323 |
1,185 |
$52K |
| 99218 |
|
585 |
490 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
477 |
444 |
$35K |
| 76801 |
|
218 |
209 |
$15K |
| 59025 |
Fetal non-stress test |
458 |
165 |
$15K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
189 |
169 |
$14K |
| 59430 |
|
116 |
108 |
$7K |
| 81025 |
|
963 |
864 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
103 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
197 |
187 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
13 |
$1K |