| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,300 |
2,271 |
$412K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
20,830 |
16,101 |
$259K |
| 99205 |
Prolong outpt/office vis |
3,891 |
3,817 |
$233K |
| Z1034 |
|
4,068 |
3,045 |
$231K |
| 99401 |
|
26,440 |
20,388 |
$208K |
| 59425 |
|
13,625 |
9,714 |
$179K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
265 |
256 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,547 |
10,059 |
$120K |
| 99215 |
Prolong outpt/office vis |
3,012 |
2,815 |
$99K |
| 59514 |
|
596 |
590 |
$96K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,341 |
2,326 |
$76K |
| 59430 |
|
4,235 |
3,924 |
$74K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
2,382 |
2,371 |
$74K |
| J3490 |
Unclassified drugs |
1,330 |
1,250 |
$71K |
| H2000 |
Comprehensive multidisciplinary evaluation |
3,789 |
3,687 |
$56K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,248 |
1,238 |
$51K |
| Z6500 |
|
391 |
391 |
$48K |
| 11981 |
|
250 |
214 |
$44K |
| 97803 |
|
20,263 |
16,075 |
$43K |
| H1000 |
Prenatal care, at-risk assessment |
1,340 |
1,336 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,551 |
1,535 |
$35K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
10,928 |
6,979 |
$34K |
| 58300 |
|
299 |
161 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
756 |
744 |
$22K |
| 76801 |
|
1,049 |
1,042 |
$21K |
| Z6406 |
|
2,532 |
2,014 |
$21K |
| 90715 |
|
1,768 |
1,655 |
$20K |
| Z6204 |
|
2,206 |
1,809 |
$18K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
13,843 |
11,864 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,274 |
1,257 |
$18K |
| 81025 |
|
11,885 |
11,288 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,729 |
1,635 |
$16K |
| 59025 |
Fetal non-stress test |
2,473 |
1,394 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
582 |
582 |
$15K |
| Z6410 |
|
1,425 |
1,193 |
$11K |
| Z6400 |
|
695 |
571 |
$10K |
| Z1032 |
|
66 |
66 |
$9K |
| Z1038 |
|
154 |
154 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
555 |
471 |
$7K |
| 96156 |
|
5,438 |
5,250 |
$7K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
24 |
24 |
$7K |
| 76813 |
|
232 |
223 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
140 |
140 |
$5K |
| S9452 |
Nutrition classes, non-physician provider, per session |
3,337 |
3,107 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
258 |
248 |
$5K |
| 11976 |
|
103 |
52 |
$4K |
| 58301 |
|
271 |
163 |
$4K |
| 96151 |
|
1,909 |
1,497 |
$3K |
| 90674 |
|
394 |
389 |
$3K |
| 96152 |
|
1,173 |
1,000 |
$2K |
| Z6304 |
|
240 |
234 |
$2K |
| 99000 |
|
5,447 |
5,373 |
$2K |
| Z6414 |
|
131 |
131 |
$2K |
| 99245 |
|
205 |
205 |
$2K |
| Z6208 |
|
118 |
118 |
$1K |
| Z6308 |
|
118 |
118 |
$1K |
| 0502F |
|
12,386 |
9,602 |
$1K |
| 90656 |
|
105 |
91 |
$1K |
| 99385 |
|
92 |
92 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
55 |
53 |
$943.97 |
| 57454 |
|
38 |
26 |
$733.60 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
12 |
$635.99 |
| 90686 |
|
103 |
101 |
$600.23 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
589 |
576 |
$589.17 |
| 1036F |
|
6,405 |
5,792 |
$557.29 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
40 |
$192.85 |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$175.05 |
| 81002 |
|
128 |
128 |
$46.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$4.77 |
| H0049 |
Alcohol and/or drug screening |
708 |
692 |
$0.01 |
| 0503F |
|
871 |
867 |
$0.00 |
| 0500F |
|
673 |
651 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
38 |
38 |
$0.00 |