| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
255 |
243 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,638 |
3,208 |
$117K |
| 59025 |
Fetal non-stress test |
3,508 |
2,264 |
$115K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
318 |
304 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
3,216 |
2,791 |
$10K |
| 87510 |
|
337 |
320 |
$8K |
| 87480 |
|
337 |
320 |
$7K |
| 87660 |
|
337 |
320 |
$7K |
| 76830 |
Ultrasound, transvaginal |
82 |
78 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
89 |
79 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84 |
77 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
80 |
80 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
78 |
75 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
77 |
75 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
115 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$576.54 |
| 99000 |
|
158 |
142 |
$236.50 |
| 90686 |
|
14 |
13 |
$208.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
53 |
$199.10 |
| 81025 |
|
12 |
12 |
$91.78 |