| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
274 |
273 |
$254K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,855 |
3,492 |
$208K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
163 |
163 |
$120K |
| 99386 |
|
665 |
665 |
$79K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
941 |
939 |
$77K |
| 99385 |
|
584 |
584 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
835 |
833 |
$56K |
| 76801 |
|
726 |
690 |
$53K |
| 59430 |
|
223 |
222 |
$53K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
341 |
341 |
$31K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
26 |
26 |
$24K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
312 |
274 |
$18K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
701 |
701 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
235 |
234 |
$16K |
| 59514 |
|
14 |
13 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
120 |
120 |
$10K |
| 54150 |
|
139 |
138 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
243 |
215 |
$8K |
| 76830 |
Ultrasound, transvaginal |
45 |
45 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
51 |
50 |
$3K |
| 81025 |
|
433 |
428 |
$3K |
| 76998 |
|
45 |
45 |
$3K |
| 58300 |
|
45 |
45 |
$3K |
| 99205 |
Prolong outpt/office vis |
22 |
22 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 81003 |
|
521 |
351 |
$970.52 |
| 58301 |
|
12 |
12 |
$795.82 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
15 |
$793.29 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
46 |
$107.14 |
| 96127 |
|
13 |
13 |
$36.57 |
| 3008F |
|
4,290 |
4,069 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
129 |
129 |
$0.00 |
| 0502F |
|
459 |
440 |
$0.00 |