| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
6,879 |
3,964 |
$325K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
265 |
229 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,899 |
2,532 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,355 |
1,145 |
$91K |
| 59025 |
Fetal non-stress test |
2,742 |
1,290 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
411 |
369 |
$31K |
| 0500F |
|
607 |
572 |
$28K |
| 90670 |
|
833 |
724 |
$25K |
| 76801 |
|
198 |
167 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
347 |
257 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
118 |
116 |
$10K |
| H1000 |
Prenatal care, at-risk assessment |
639 |
592 |
$9K |
| 59430 |
|
137 |
122 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
255 |
200 |
$4K |
| 90648 |
|
203 |
139 |
$2K |
| 90680 |
|
81 |
65 |
$1K |
| 90698 |
|
129 |
116 |
$1K |
| 54150 |
|
12 |
12 |
$880.80 |
| 99460 |
|
16 |
16 |
$620.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$522.60 |
| 99462 |
|
21 |
17 |
$344.40 |
| 90723 |
|
17 |
15 |
$339.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
13 |
$329.55 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$272.64 |
| 90744 |
|
33 |
33 |
$211.20 |
| 81025 |
|
52 |
40 |
$165.24 |
| 90657 |
|
18 |
14 |
$108.80 |
| 90658 |
|
16 |
13 |
$96.00 |
| 81003 |
|
29 |
25 |
$61.04 |