| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,328 |
2,266 |
$1.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,383 |
13,188 |
$815K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,842 |
6,140 |
$546K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,925 |
5,539 |
$528K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,033 |
3,915 |
$443K |
| 76818 |
|
1,746 |
858 |
$163K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,066 |
1,004 |
$80K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
470 |
443 |
$60K |
| 59514 |
|
67 |
65 |
$45K |
| 59430 |
|
412 |
407 |
$37K |
| 76801 |
|
378 |
369 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,614 |
1,565 |
$30K |
| 76825 |
|
69 |
66 |
$12K |
| 59025 |
Fetal non-stress test |
277 |
181 |
$11K |
| 76830 |
Ultrasound, transvaginal |
112 |
108 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
363 |
307 |
$8K |
| 90686 |
|
385 |
375 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
389 |
380 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
52 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$4K |
| 76827 |
|
69 |
66 |
$3K |
| 76820 |
|
51 |
25 |
$2K |
| 84703 |
|
241 |
237 |
$1K |
| 93325 |
|
68 |
67 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
14 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
30 |
27 |
$651.98 |
| 99241 |
|
13 |
12 |
$410.01 |
| 4274F |
|
139 |
136 |
$0.10 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
24,093 |
19,181 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
24,337 |
19,355 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
255 |
207 |
$0.00 |
| 3008F |
|
22,750 |
18,653 |
$0.00 |
| 1030F |
|
659 |
583 |
$0.00 |
| 1034F |
|
15 |
12 |
$0.00 |
| 1036F |
|
1,145 |
1,115 |
$0.00 |
| 0503F |
|
280 |
276 |
$0.00 |
| 0500F |
|
251 |
245 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
12 |
12 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
56 |
55 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
34 |
27 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
52 |
52 |
$0.00 |