| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,492 |
1,567 |
$73K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
27 |
27 |
$13K |
| 59430 |
|
131 |
113 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
67 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
29 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
56 |
$3K |
| 99000 |
|
256 |
230 |
$2K |
| 76801 |
|
26 |
26 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
27 |
25 |
$2K |
| 81025 |
|
70 |
63 |
$457.41 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
14 |
$142.93 |
| 36415 |
Collection of venous blood by venipuncture |
320 |
280 |
$0.10 |
| 1126F |
|
13 |
13 |
$0.00 |