| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
236 |
235 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,297 |
1,259 |
$64K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
83 |
83 |
$64K |
| 59430 |
|
221 |
221 |
$52K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
304 |
303 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
358 |
336 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
287 |
286 |
$24K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
393 |
366 |
$23K |
| 76830 |
Ultrasound, transvaginal |
277 |
274 |
$21K |
| 59025 |
Fetal non-stress test |
752 |
353 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
301 |
299 |
$20K |
| 76801 |
|
177 |
177 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
208 |
203 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
74 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
164 |
161 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
60 |
57 |
$3K |
| 76376 |
|
136 |
136 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
101 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$839.54 |
| 36415 |
Collection of venous blood by venipuncture |
227 |
221 |
$589.23 |
| 90715 |
|
14 |
14 |
$498.86 |
| 81025 |
|
27 |
26 |
$183.92 |
| 96127 |
|
66 |
65 |
$182.41 |
| 0502F |
|
1,634 |
966 |
$0.00 |