| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93976 |
|
4,046 |
3,749 |
$458K |
| 76821 |
|
4,852 |
2,877 |
$347K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,478 |
2,370 |
$287K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,576 |
3,239 |
$267K |
| 76830 |
Ultrasound, transvaginal |
2,546 |
2,393 |
$218K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,534 |
2,394 |
$191K |
| 76820 |
|
4,893 |
2,906 |
$180K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,800 |
1,647 |
$123K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,475 |
1,422 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,040 |
990 |
$107K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
485 |
468 |
$49K |
| 81025 |
|
6,115 |
5,348 |
$45K |
| 76801 |
|
288 |
255 |
$26K |
| 81002 |
|
7,652 |
5,554 |
$21K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
12 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
139 |
124 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,255 |
2,804 |
$13K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
243 |
212 |
$8K |
| 59025 |
Fetal non-stress test |
310 |
247 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
97 |
95 |
$6K |
| 80305 |
|
489 |
418 |
$5K |
| 76813 |
|
56 |
54 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,335 |
1,252 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
40 |
38 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
106 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
177 |
173 |
$2K |
| 90656 |
|
32 |
28 |
$507.55 |
| 90658 |
|
25 |
24 |
$229.78 |
| 99000 |
|
57 |
55 |
$29.25 |