| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
7,053 |
7,026 |
$3.71M |
| 59425 |
|
33,159 |
28,814 |
$1.71M |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
40,712 |
33,563 |
$960K |
| 99215 |
Prolong outpt/office vis |
7,097 |
7,035 |
$735K |
| 59514 |
|
1,237 |
1,229 |
$650K |
| Z1034 |
|
9,578 |
8,230 |
$526K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,477 |
12,087 |
$397K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,580 |
4,539 |
$331K |
| 59025 |
Fetal non-stress test |
32,471 |
25,725 |
$303K |
| 59430 |
|
4,102 |
3,404 |
$195K |
| Z1032 |
|
1,564 |
1,564 |
$165K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,270 |
2,263 |
$114K |
| 76801 |
|
2,715 |
2,603 |
$82K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,459 |
5,442 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,105 |
1,988 |
$56K |
| G9920 |
Screening performed and negative |
2,902 |
2,899 |
$44K |
| 88141 |
|
821 |
475 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
773 |
764 |
$32K |
| 99451 |
|
803 |
801 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
636 |
613 |
$19K |
| 81025 |
|
5,044 |
4,943 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
155 |
155 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
319 |
317 |
$10K |
| 58100 |
|
253 |
251 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
164 |
151 |
$8K |
| 90715 |
|
87 |
83 |
$5K |
| 3351F |
|
718 |
718 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
182 |
165 |
$4K |
| 81003 |
|
1,579 |
1,153 |
$3K |
| 57454 |
|
25 |
25 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
34 |
26 |
$2K |
| 0500F |
|
252 |
252 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
71 |
71 |
$886.62 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
12 |
$770.06 |
| 58611 |
|
12 |
12 |
$658.10 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$315.17 |
| H0049 |
Alcohol and/or drug screening |
15 |
12 |
$74.25 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$71.78 |