| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
1,563 |
1,193 |
$131K |
| 59426 |
|
1,264 |
672 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,493 |
1,297 |
$107K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
659 |
567 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
419 |
388 |
$35K |
| 76830 |
Ultrasound, transvaginal |
198 |
179 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
115 |
113 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
87 |
79 |
$10K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$9K |
| 59430 |
|
62 |
55 |
$9K |
| 81002 |
|
3,110 |
1,985 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
157 |
146 |
$5K |
| 81025 |
|
440 |
398 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
31 |
25 |
$2K |
| 54150 |
|
16 |
15 |
$2K |
| 59025 |
Fetal non-stress test |
56 |
40 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
67 |
$933.54 |