| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,371 |
2,080 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,348 |
3,149 |
$133K |
| 76818 |
|
1,001 |
441 |
$78K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
129 |
116 |
$69K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
463 |
406 |
$43K |
| 59514 |
|
72 |
56 |
$37K |
| 76830 |
Ultrasound, transvaginal |
437 |
373 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
422 |
381 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
353 |
319 |
$19K |
| 99000 |
|
1,743 |
1,405 |
$15K |
| 59430 |
|
176 |
154 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
136 |
130 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
159 |
136 |
$7K |
| 81025 |
|
1,059 |
933 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
83 |
72 |
$3K |
| 59025 |
Fetal non-stress test |
51 |
32 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
29 |
$2K |
| 54150 |
|
13 |
13 |
$1K |
| 99442 |
|
18 |
12 |
$258.89 |
| 81003 |
|
106 |
87 |
$158.93 |