| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
7,977 |
4,261 |
$409K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,233 |
1,235 |
$257K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,877 |
3,203 |
$199K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
754 |
731 |
$64K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
53 |
53 |
$49K |
| 59514 |
|
63 |
52 |
$37K |
| 59430 |
|
181 |
116 |
$24K |
| 0503F |
|
309 |
264 |
$22K |
| 59025 |
Fetal non-stress test |
597 |
294 |
$20K |
| 76830 |
Ultrasound, transvaginal |
265 |
247 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
215 |
189 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
312 |
296 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
139 |
120 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
82 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
63 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
105 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
74 |
39 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
231 |
205 |
$2K |
| 99234 |
|
18 |
13 |
$1K |
| 96160 |
|
177 |
132 |
$1K |
| 76801 |
|
13 |
12 |
$934.70 |
| 96127 |
|
54 |
45 |
$763.88 |
| 81025 |
|
18 |
15 |
$87.89 |