| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,161 |
22,186 |
$4.96M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
163 |
118 |
$152K |
| 59430 |
|
257 |
227 |
$3K |
| 0500F |
|
1,769 |
1,593 |
$1K |
| 0503F |
|
799 |
637 |
$825.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,712 |
1,494 |
$85.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
700 |
503 |
$71.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,556 |
6,582 |
$56.70 |
| 90688 |
|
203 |
112 |
$16.00 |
| 82962 |
|
424 |
279 |
$3.36 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,223 |
850 |
$0.00 |
| 0502F |
|
17,198 |
7,965 |
$0.00 |
| 59025 |
Fetal non-stress test |
5,374 |
1,920 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
201 |
190 |
$0.00 |
| 81025 |
|
2,034 |
1,815 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,690 |
1,449 |
$0.00 |
| 81002 |
|
313 |
259 |
$0.00 |
| 90715 |
|
167 |
162 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
340 |
247 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90658 |
|
20 |
17 |
$0.00 |
| 96127 |
|
98 |
88 |
$0.00 |
| 90686 |
|
173 |
172 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
390 |
291 |
$0.00 |
| 3008F |
|
31 |
31 |
$0.00 |
| 58300 |
|
63 |
61 |
$0.00 |
| 90656 |
|
30 |
29 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
35 |
34 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |