| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
11,493 |
8,278 |
$688K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,149 |
1,147 |
$604K |
| Z1034 |
|
4,254 |
2,677 |
$232K |
| 59514 |
|
388 |
386 |
$201K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,984 |
1,927 |
$151K |
| 99215 |
Prolong outpt/office vis |
1,014 |
1,012 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,917 |
2,769 |
$107K |
| Z1032 |
|
628 |
628 |
$88K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
900 |
896 |
$81K |
| 88141 |
|
1,409 |
746 |
$70K |
| 59430 |
|
1,026 |
991 |
$65K |
| Z6500 |
|
239 |
239 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
250 |
247 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
330 |
135 |
$20K |
| 58300 |
|
173 |
89 |
$19K |
| 57454 |
|
289 |
145 |
$17K |
| Z1038 |
|
355 |
197 |
$12K |
| 81025 |
|
3,046 |
2,976 |
$10K |
| 3351F |
|
120 |
120 |
$9K |
| Z6204 |
|
396 |
374 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
238 |
229 |
$8K |
| 59025 |
Fetal non-stress test |
246 |
97 |
$5K |
| Z6410 |
|
202 |
166 |
$5K |
| Z6400 |
|
252 |
252 |
$4K |
| Z6304 |
|
288 |
264 |
$4K |
| Z6406 |
|
269 |
253 |
$4K |
| 90715 |
|
95 |
86 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
636 |
631 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$954.00 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$798.23 |
| Z6208 |
|
40 |
40 |
$599.54 |
| Z6414 |
|
41 |
41 |
$326.27 |
| Z6308 |
|
41 |
41 |
$318.70 |