| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
3,917 |
3,843 |
$3.34M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
3,847 |
3,808 |
$2.89M |
| 59514 |
|
1,981 |
1,956 |
$1.66M |
| 59425 |
|
1,569 |
1,537 |
$739K |
| 59430 |
|
3,370 |
3,348 |
$732K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,813 |
11,821 |
$623K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
6,408 |
6,354 |
$514K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,600 |
7,129 |
$494K |
| 59025 |
Fetal non-stress test |
10,684 |
4,245 |
$297K |
| 99385 |
|
2,647 |
2,634 |
$255K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,935 |
2,923 |
$232K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,654 |
3,639 |
$232K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,270 |
2,251 |
$206K |
| 76801 |
|
2,854 |
2,791 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,109 |
2,066 |
$138K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,515 |
2,332 |
$123K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,339 |
2,292 |
$70K |
| 90715 |
|
2,099 |
2,074 |
$69K |
| 81025 |
|
10,124 |
9,974 |
$69K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,302 |
787 |
$66K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,160 |
984 |
$63K |
| 81002 |
|
26,842 |
22,791 |
$63K |
| 99386 |
|
488 |
478 |
$54K |
| 76820 |
|
1,600 |
980 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
457 |
457 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,052 |
3,796 |
$37K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
42 |
42 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,443 |
2,393 |
$27K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
524 |
364 |
$20K |
| 54150 |
|
312 |
310 |
$18K |
| 99459 |
|
962 |
960 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
298 |
282 |
$12K |
| 58300 |
|
173 |
172 |
$11K |
| 90686 |
|
339 |
333 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
58 |
55 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,212 |
1,175 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
34 |
33 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
40 |
40 |
$941.05 |
| 96160 |
|
577 |
574 |
$529.31 |
| 99000 |
|
281 |
271 |
$276.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$135.16 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,143 |
3,113 |
$86.08 |
| 0502F |
|
41,415 |
27,347 |
$66.16 |
| 0500F |
|
1,575 |
1,553 |
$0.14 |
| 0503F |
|
15 |
15 |
$0.05 |