| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
9,653 |
5,498 |
$515K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,480 |
5,190 |
$477K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
389 |
374 |
$347K |
| 76830 |
Ultrasound, transvaginal |
2,704 |
2,421 |
$192K |
| 59025 |
Fetal non-stress test |
4,593 |
1,939 |
$149K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,933 |
1,654 |
$136K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,525 |
1,386 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
963 |
772 |
$91K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,112 |
957 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
658 |
280 |
$64K |
| 0500F |
|
612 |
565 |
$39K |
| H1000 |
Prenatal care, at-risk assessment |
2,178 |
1,967 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
332 |
321 |
$28K |
| 59430 |
|
163 |
142 |
$24K |
| 0503F |
|
348 |
319 |
$21K |
| 99385 |
|
96 |
93 |
$10K |
| 81002 |
|
3,695 |
2,295 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
137 |
127 |
$9K |
| 76801 |
|
132 |
121 |
$9K |
| 96160 |
|
424 |
367 |
$6K |
| 81025 |
|
1,407 |
1,191 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
42 |
30 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
145 |
124 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$2K |
| 76376 |
|
12 |
12 |
$804.87 |
| 99459 |
|
54 |
54 |
$789.48 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
109 |
101 |
$0.00 |