| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,041 |
2,656 |
$210K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
921 |
702 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
886 |
652 |
$61K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
62 |
59 |
$57K |
| 76818 |
|
676 |
371 |
$47K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
516 |
409 |
$36K |
| 76830 |
Ultrasound, transvaginal |
498 |
420 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
467 |
414 |
$28K |
| 59025 |
Fetal non-stress test |
646 |
406 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
260 |
181 |
$18K |
| 96127 |
|
581 |
444 |
$8K |
| 81003 |
|
1,878 |
1,306 |
$4K |
| 59430 |
|
15 |
13 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
18 |
12 |
$1K |
| 0503F |
|
12 |
12 |
$604.31 |
| 82962 |
|
263 |
162 |
$437.04 |
| 81025 |
|
54 |
38 |
$134.42 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$24.60 |