| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
299 |
294 |
$13K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
28 |
28 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
354 |
329 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
735 |
648 |
$6K |
| 59514 |
|
27 |
27 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
66 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
313 |
210 |
$2K |
| 88150 |
|
278 |
278 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
58 |
42 |
$953.84 |
| 59425 |
|
191 |
120 |
$822.52 |