| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,009 |
888 |
$53K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
16 |
12 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
127 |
$12K |
| 76830 |
Ultrasound, transvaginal |
67 |
61 |
$8K |
| 99385 |
|
65 |
55 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
56 |
42 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
28 |
25 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
72 |
61 |
$848.82 |
| 99459 |
|
29 |
29 |
$514.96 |
| 81025 |
|
36 |
29 |
$43.77 |
| 99000 |
|
16 |
13 |
$0.00 |
| 0502F |
|
244 |
197 |
$0.00 |