| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
5,145 |
3,167 |
$237K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
189 |
149 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,599 |
1,250 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
849 |
708 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
265 |
221 |
$18K |
| 76830 |
Ultrasound, transvaginal |
224 |
172 |
$13K |
| 0503F |
|
209 |
153 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
137 |
111 |
$11K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
97 |
88 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
97 |
88 |
$4K |
| 96127 |
|
281 |
216 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
46 |
36 |
$3K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
106 |
80 |
$3K |
| 76801 |
|
42 |
35 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
24 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
32 |
27 |
$911.84 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
12 |
$849.44 |
| 81025 |
|
163 |
121 |
$758.51 |
| 0500F |
|
12 |
12 |
$529.20 |
| 85014 |
|
12 |
12 |
$27.84 |
| 85018 |
|
12 |
12 |
$27.84 |