| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
3,600 |
3,587 |
$1.80M |
| 59425 |
|
30,346 |
18,375 |
$1.67M |
| 99235 |
|
11,875 |
9,408 |
$1.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,855 |
31,919 |
$1.03M |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
988 |
984 |
$984K |
| 59514 |
|
2,681 |
2,661 |
$971K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,443 |
11,362 |
$700K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
642 |
642 |
$645K |
| 99215 |
Prolong outpt/office vis |
3,880 |
3,789 |
$465K |
| 99223 |
Prolong inpt eval add15 m |
4,588 |
4,483 |
$346K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,744 |
4,705 |
$241K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,234 |
6,123 |
$222K |
| 59430 |
|
4,311 |
3,290 |
$212K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,946 |
4,691 |
$202K |
| 58300 |
|
1,611 |
1,595 |
$195K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,706 |
2,699 |
$190K |
| Z1034 |
|
1,705 |
1,091 |
$121K |
| 59025 |
Fetal non-stress test |
12,420 |
9,842 |
$109K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,716 |
2,406 |
$109K |
| 0500F |
|
2,002 |
1,912 |
$104K |
| 11981 |
|
488 |
488 |
$85K |
| 57454 |
|
953 |
952 |
$73K |
| 81003 |
|
41,578 |
26,903 |
$73K |
| 81025 |
|
26,388 |
24,336 |
$73K |
| 58301 |
|
1,053 |
1,050 |
$70K |
| 58100 |
|
1,578 |
1,558 |
$60K |
| 88164 |
|
6,273 |
6,176 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,315 |
2,218 |
$46K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,332 |
1,230 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,966 |
1,631 |
$35K |
| 99222 |
Initial hospital care, per day, moderate complexity |
217 |
193 |
$16K |
| 57410 |
|
219 |
215 |
$15K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
243 |
159 |
$14K |
| Z1032 |
|
103 |
103 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,242 |
1,169 |
$13K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
477 |
476 |
$9K |
| 11982 |
|
80 |
80 |
$9K |
| 82951 |
|
779 |
765 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
417 |
375 |
$5K |
| 82962 |
|
3,086 |
2,859 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
112 |
112 |
$5K |
| 99385 |
|
43 |
43 |
$5K |
| 88141 |
|
221 |
190 |
$4K |
| 87623 |
|
28 |
28 |
$3K |
| 99234 |
|
30 |
20 |
$3K |
| 99243 |
|
52 |
47 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
37 |
36 |
$2K |
| 99441 |
|
427 |
409 |
$2K |
| 36410 |
|
169 |
167 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
16 |
12 |
$948.03 |
| 99000 |
|
178 |
168 |
$595.65 |
| 81002 |
|
247 |
221 |
$484.58 |
| 0502F |
|
7,475 |
4,395 |
$237.00 |
| 2000F |
|
34 |
33 |
$0.02 |
| 0503F |
|
199 |
168 |
$0.00 |
| 1036F |
|
36 |
34 |
$0.00 |