| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,084 |
3,503 |
$267K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,752 |
1,166 |
$52K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
546 |
418 |
$44K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
618 |
453 |
$38K |
| 81002 |
|
9,360 |
5,448 |
$24K |
| 59430 |
|
129 |
123 |
$11K |
| 76830 |
Ultrasound, transvaginal |
89 |
83 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$8K |
| 59514 |
|
12 |
12 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
118 |
96 |
$7K |
| 99000 |
|
850 |
726 |
$7K |
| 81025 |
|
1,094 |
965 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
66 |
$4K |
| 59025 |
Fetal non-stress test |
90 |
51 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
35 |
28 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$1K |