| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
15,632 |
9,137 |
$1.42M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,699 |
1,697 |
$1.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,134 |
13,636 |
$814K |
| 59514 |
|
661 |
657 |
$352K |
| 99205 |
Prolong outpt/office vis |
1,583 |
1,568 |
$267K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,514 |
1,509 |
$193K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,355 |
1,736 |
$167K |
| 59430 |
|
1,300 |
1,294 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,258 |
1,895 |
$98K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
464 |
459 |
$52K |
| Z1034 |
|
742 |
447 |
$40K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
616 |
446 |
$40K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
904 |
554 |
$39K |
| 76801 |
|
390 |
390 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
321 |
319 |
$30K |
| 59025 |
Fetal non-stress test |
726 |
526 |
$22K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
207 |
204 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
657 |
632 |
$17K |
| 99385 |
|
86 |
85 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
274 |
274 |
$12K |
| 81025 |
|
2,096 |
2,039 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$5K |
| 99215 |
Prolong outpt/office vis |
69 |
67 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
114 |
113 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28 |
27 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$1K |
| 87653 |
|
29 |
27 |
$1K |
| 99243 |
|
18 |
18 |
$1K |
| J3490 |
Unclassified drugs |
24 |
24 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
37 |
$867.28 |
| 81002 |
|
1,142 |
746 |
$371.92 |
| 88142 |
|
34 |
30 |
$45.77 |
| 81003 |
|
36 |
29 |
$0.00 |
| A4550 |
Surgical trays |
131 |
109 |
$0.00 |