| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
12,528 |
7,809 |
$750K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
383 |
379 |
$203K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,660 |
4,342 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,849 |
1,839 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,223 |
3,117 |
$140K |
| 76830 |
Ultrasound, transvaginal |
2,008 |
1,958 |
$132K |
| 99215 |
Prolong outpt/office vis |
1,221 |
1,208 |
$132K |
| 59430 |
|
1,551 |
1,471 |
$97K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
721 |
716 |
$48K |
| Z1034 |
|
673 |
375 |
$37K |
| 59514 |
|
73 |
72 |
$34K |
| 88141 |
|
644 |
358 |
$32K |
| 81002 |
|
14,577 |
9,470 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
417 |
405 |
$28K |
| 99000 |
|
6,240 |
5,400 |
$22K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
129 |
128 |
$20K |
| 88150 |
|
1,237 |
1,226 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
142 |
132 |
$9K |
| 76813 |
|
71 |
71 |
$8K |
| 87081 |
|
1,076 |
1,054 |
$6K |
| 99243 |
|
88 |
88 |
$5K |
| 81025 |
|
1,711 |
1,685 |
$5K |
| 87480 |
|
279 |
278 |
$5K |
| 88142 |
|
201 |
201 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
68 |
58 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
130 |
105 |
$2K |
| 58300 |
|
12 |
12 |
$2K |
| Z1032 |
|
12 |
12 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
43 |
43 |
$1K |
| 76801 |
|
14 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
28 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
25 |
24 |
$707.77 |
| 90715 |
|
14 |
14 |
$465.08 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$297.00 |