| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,032 |
1,582 |
$101K |
| 59426 |
|
969 |
477 |
$92K |
| 59425 |
|
614 |
462 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
338 |
$38K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
27 |
26 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
137 |
125 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
232 |
194 |
$9K |
| 81002 |
|
2,537 |
1,484 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
45 |
42 |
$3K |
| 59025 |
Fetal non-stress test |
78 |
40 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
13 |
$988.34 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
21 |
14 |
$980.11 |
| 81025 |
|
85 |
81 |
$643.97 |