| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,353 |
2,151 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,122 |
1,316 |
$99K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
287 |
281 |
$32K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
52 |
52 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
173 |
172 |
$15K |
| 81002 |
|
4,688 |
2,667 |
$13K |
| 76801 |
|
125 |
123 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
135 |
$8K |
| 59430 |
|
80 |
77 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
41 |
40 |
$4K |
| 59025 |
Fetal non-stress test |
53 |
52 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
24 |
24 |
$2K |
| 90682 |
|
76 |
75 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
84 |
$966.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
39 |
$916.19 |