| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
20,691 |
16,442 |
$1.24M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
475 |
474 |
$256K |
| 99215 |
Prolong outpt/office vis |
1,714 |
1,699 |
$214K |
| 76813 |
|
1,996 |
1,968 |
$212K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,649 |
1,637 |
$154K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,202 |
3,996 |
$123K |
| 59430 |
|
2,185 |
1,844 |
$118K |
| 76830 |
Ultrasound, transvaginal |
1,729 |
1,671 |
$114K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,506 |
1,482 |
$99K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,564 |
1,045 |
$96K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,881 |
1,792 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,792 |
1,735 |
$72K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
930 |
926 |
$66K |
| 59025 |
Fetal non-stress test |
2,975 |
1,424 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
971 |
958 |
$59K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
301 |
300 |
$47K |
| 59514 |
|
95 |
93 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
183 |
176 |
$13K |
| 88141 |
|
206 |
95 |
$10K |
| 58300 |
|
54 |
27 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
82 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
19 |
13 |
$1K |
| 81025 |
|
408 |
395 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
18 |
17 |
$434.52 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$278.32 |
| 3351F |
|
226 |
226 |
$0.00 |
| 0500F |
|
233 |
233 |
$0.00 |