| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
12,258 |
8,343 |
$860K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,469 |
6,032 |
$384K |
| 59426 |
|
3,374 |
1,552 |
$252K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,073 |
792 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,047 |
892 |
$80K |
| 59430 |
|
384 |
289 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,263 |
1,696 |
$24K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
547 |
408 |
$13K |
| 81025 |
|
2,275 |
1,889 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
383 |
352 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
140 |
109 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
112 |
97 |
$9K |
| 76818 |
|
87 |
31 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
172 |
$8K |
| 76830 |
Ultrasound, transvaginal |
146 |
129 |
$7K |
| J3490 |
Unclassified drugs |
145 |
113 |
$6K |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
95 |
68 |
$4K |
| 80305 |
|
586 |
480 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
33 |
27 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
86 |
73 |
$2K |
| 96127 |
|
553 |
413 |
$1K |
| 59025 |
Fetal non-stress test |
26 |
24 |
$826.16 |
| J1000 |
Injection, depo-estradiol cypionate, up to 5 mg |
42 |
39 |
$761.56 |
| 99354 |
|
134 |
97 |
$625.24 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
239 |
213 |
$590.80 |
| 81002 |
|
170 |
125 |
$394.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$121.44 |
| 76801 |
|
32 |
27 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
14 |
12 |
$0.00 |