| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,316 |
687 |
$131K |
| 0502F |
|
2,279 |
1,716 |
$130K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
79 |
79 |
$73K |
| 0500F |
|
113 |
113 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
121 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
15 |
$3K |
| 81003 |
|
936 |
776 |
$2K |
| 59025 |
Fetal non-stress test |
117 |
99 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
13 |
$735.54 |
| 81025 |
|
20 |
12 |
$120.60 |