| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59025 |
Fetal non-stress test |
5,983 |
4,737 |
$147K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
238 |
212 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,495 |
2,204 |
$133K |
| 99235 |
|
920 |
811 |
$98K |
| 99218 |
|
1,373 |
1,116 |
$80K |
| 76830 |
Ultrasound, transvaginal |
584 |
544 |
$59K |
| 99222 |
Initial hospital care, per day, moderate complexity |
489 |
438 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
358 |
337 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
294 |
$22K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
157 |
140 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
152 |
140 |
$9K |
| 99219 |
|
81 |
78 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
155 |
131 |
$7K |
| 99459 |
|
505 |
479 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
39 |
$3K |
| 81002 |
|
1,038 |
928 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 54150 |
|
15 |
14 |
$1K |
| 99385 |
|
14 |
12 |
$982.78 |
| 81025 |
|
106 |
99 |
$689.92 |
| 90756 |
|
36 |
36 |
$667.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$214.58 |
| 0503F |
|
16 |
16 |
$160.00 |