| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
802 |
778 |
$734K |
| 0502F |
|
15,905 |
8,782 |
$729K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,776 |
1,637 |
$267K |
| 59025 |
Fetal non-stress test |
5,493 |
1,959 |
$181K |
| 59514 |
|
139 |
126 |
$149K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,606 |
1,424 |
$133K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,682 |
899 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,192 |
1,739 |
$120K |
| 0500F |
|
1,805 |
1,674 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
500 |
329 |
$62K |
| 0503F |
|
920 |
839 |
$50K |
| H1000 |
Prenatal care, at-risk assessment |
1,673 |
1,547 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
155 |
150 |
$13K |
| 96127 |
|
895 |
823 |
$13K |
| 59430 |
|
53 |
38 |
$6K |
| 99385 |
|
52 |
45 |
$5K |
| 81025 |
|
1,064 |
883 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
88 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
269 |
236 |
$3K |
| 90715 |
|
82 |
51 |
$3K |
| 81003 |
|
928 |
375 |
$2K |
| 90686 |
|
89 |
50 |
$2K |
| 81002 |
|
626 |
246 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20 |
14 |
$292.00 |