| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,022 |
3,882 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,880 |
2,535 |
$149K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,063 |
1,875 |
$121K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
229 |
219 |
$20K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
56 |
48 |
$17K |
| 59430 |
|
81 |
74 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
40 |
38 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
12 |
$325.73 |