| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
1,469 |
1,450 |
$1.19M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,369 |
1,360 |
$1.03M |
| 59514 |
|
410 |
347 |
$295K |
| 59430 |
|
1,418 |
1,405 |
$295K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,122 |
3,895 |
$217K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,118 |
2,102 |
$168K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,220 |
2,053 |
$139K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,349 |
1,343 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,505 |
1,342 |
$104K |
| 76801 |
|
1,437 |
1,431 |
$101K |
| 59025 |
Fetal non-stress test |
3,625 |
1,485 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,407 |
1,273 |
$46K |
| 76830 |
Ultrasound, transvaginal |
596 |
595 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
503 |
497 |
$35K |
| 90715 |
|
1,018 |
1,002 |
$34K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
383 |
382 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,956 |
1,909 |
$19K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
259 |
224 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
279 |
272 |
$13K |
| 81025 |
|
1,818 |
1,806 |
$12K |
| 90686 |
|
574 |
560 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,163 |
948 |
$10K |
| 99459 |
|
586 |
575 |
$8K |
| 99215 |
Prolong outpt/office vis |
98 |
98 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
78 |
77 |
$7K |
| 85018 |
|
2,829 |
2,776 |
$6K |
| 54150 |
|
95 |
95 |
$5K |
| 96127 |
|
1,733 |
1,722 |
$5K |
| 87210 |
|
1,137 |
1,100 |
$5K |
| 58300 |
|
75 |
75 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
76 |
73 |
$4K |
| 76857 |
|
110 |
110 |
$3K |
| 82950 |
|
528 |
504 |
$2K |
| 90674 |
|
62 |
62 |
$2K |
| 76820 |
|
40 |
37 |
$1K |
| 90656 |
|
42 |
42 |
$937.11 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$900.00 |
| 58301 |
|
12 |
12 |
$726.69 |
| 96160 |
|
253 |
250 |
$338.04 |