| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,038 |
677 |
$46K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
27 |
27 |
$24K |
| 59025 |
Fetal non-stress test |
415 |
255 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
202 |
177 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
106 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
241 |
199 |
$8K |
| 81002 |
|
963 |
628 |
$2K |
| 96127 |
|
72 |
67 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
66 |
55 |
$963.60 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$934.70 |
| 81025 |
|
213 |
169 |
$534.38 |
| 87070 |
|
63 |
51 |
$365.80 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
17 |
$65.60 |