| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
45 |
42 |
$34K |
| 59025 |
Fetal non-stress test |
312 |
153 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
60 |
58 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
98 |
84 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,298 |
972 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83 |
54 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
38 |
25 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
109 |
$977.03 |
| W0037 |
|
194 |
194 |
$582.00 |
| 81003 |
|
201 |
173 |
$423.25 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$421.08 |
| 90686 |
|
22 |
21 |
$361.81 |
| 90674 |
|
12 |
12 |
$156.00 |