| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,946 |
2,900 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,786 |
2,181 |
$90K |
| 99215 |
Prolong outpt/office vis |
909 |
698 |
$61K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
705 |
661 |
$54K |
| 59430 |
|
488 |
460 |
$40K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
53 |
53 |
$30K |
| 81000 |
|
8,156 |
4,837 |
$25K |
| 59514 |
|
14 |
12 |
$7K |
| 99205 |
Prolong outpt/office vis |
41 |
40 |
$4K |
| 99236 |
Prolong inpt eval add15 m |
15 |
12 |
$2K |
| 84703 |
|
352 |
335 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$1K |
| 82950 |
|
98 |
93 |
$328.39 |
| 81025 |
|
37 |
37 |
$246.54 |
| 85018 |
|
101 |
99 |
$173.45 |