| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,754 |
3,586 |
$187K |
| 54150 |
|
993 |
979 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,088 |
851 |
$49K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
64 |
61 |
$34K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
277 |
261 |
$28K |
| 81002 |
|
6,751 |
4,185 |
$19K |
| 59430 |
|
168 |
165 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
163 |
144 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
182 |
173 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
146 |
131 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
59 |
$4K |
| 90715 |
|
158 |
143 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
240 |
217 |
$2K |
| 90756 |
|
44 |
39 |
$948.39 |
| 59025 |
Fetal non-stress test |
15 |
14 |
$318.03 |