| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,928 |
4,704 |
$626K |
| 0502F |
|
8,975 |
4,150 |
$473K |
| 76830 |
Ultrasound, transvaginal |
3,656 |
3,275 |
$257K |
| 99205 |
Prolong outpt/office vis |
1,517 |
1,357 |
$137K |
| 59025 |
Fetal non-stress test |
3,488 |
1,363 |
$118K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,609 |
1,165 |
$113K |
| 82570 |
|
23,687 |
13,885 |
$108K |
| 76820 |
|
1,568 |
1,126 |
$107K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,075 |
1,000 |
$87K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,638 |
1,198 |
$71K |
| 81003 |
|
23,616 |
13,843 |
$52K |
| 0500F |
|
740 |
646 |
$42K |
| 76801 |
|
381 |
326 |
$27K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
25 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
210 |
199 |
$18K |
| 59430 |
|
147 |
122 |
$14K |
| 59410 |
|
13 |
12 |
$12K |
| H1000 |
Prenatal care, at-risk assessment |
690 |
619 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
124 |
122 |
$10K |
| 81025 |
|
1,965 |
1,642 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
79 |
67 |
$6K |
| 85018 |
|
2,407 |
1,942 |
$6K |
| 0503F |
|
48 |
42 |
$5K |
| 96127 |
|
322 |
260 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
33 |
$1K |
| 81002 |
|
307 |
212 |
$663.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$127.53 |