| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
7,216 |
3,832 |
$575K |
| 59425 |
|
5,907 |
4,571 |
$398K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,937 |
5,132 |
$299K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,260 |
2,885 |
$266K |
| 76830 |
Ultrasound, transvaginal |
2,471 |
2,302 |
$211K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,750 |
2,305 |
$201K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
252 |
198 |
$157K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,145 |
2,519 |
$130K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,812 |
807 |
$126K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,814 |
1,458 |
$123K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,368 |
1,252 |
$122K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,875 |
2,538 |
$87K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,212 |
1,069 |
$84K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,558 |
1,315 |
$82K |
| 81025 |
|
12,167 |
10,167 |
$73K |
| 81002 |
|
22,356 |
15,560 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
461 |
401 |
$45K |
| 59430 |
|
412 |
312 |
$31K |
| 99354 |
|
691 |
553 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,695 |
2,213 |
$25K |
| 59025 |
Fetal non-stress test |
603 |
328 |
$21K |
| 99215 |
Prolong outpt/office vis |
65 |
64 |
$9K |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
162 |
147 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
62 |
40 |
$7K |
| 76801 |
|
75 |
62 |
$6K |
| 90715 |
|
181 |
154 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
155 |
130 |
$1K |
| 90686 |
|
66 |
60 |
$1K |
| 99417 |
Prolong home eval add 15m |
45 |
33 |
$516.87 |
| 90656 |
|
33 |
29 |
$0.00 |
| 58100 |
|
15 |
15 |
$0.00 |