| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,642 |
11,716 |
$649K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
467 |
449 |
$270K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,111 |
1,064 |
$115K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,570 |
1,499 |
$111K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,314 |
1,271 |
$107K |
| 59430 |
|
909 |
874 |
$85K |
| 59514 |
|
118 |
106 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,351 |
1,209 |
$62K |
| 81002 |
|
16,013 |
9,439 |
$46K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
495 |
462 |
$41K |
| 76830 |
Ultrasound, transvaginal |
308 |
290 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
495 |
434 |
$21K |
| 81025 |
|
2,354 |
2,239 |
$16K |
| 59025 |
Fetal non-stress test |
357 |
161 |
$13K |
| 99385 |
|
27 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$813.86 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
101 |
99 |
$0.04 |