| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,470 |
1,458 |
$1.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,135 |
10,617 |
$497K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,847 |
6,241 |
$417K |
| 59426 |
|
494 |
492 |
$411K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,937 |
2,923 |
$234K |
| 59430 |
|
865 |
848 |
$177K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,294 |
2,244 |
$176K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,804 |
2,796 |
$166K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,480 |
1,477 |
$132K |
| 59025 |
Fetal non-stress test |
6,771 |
3,572 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,601 |
2,382 |
$71K |
| 59514 |
|
82 |
81 |
$70K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,888 |
2,765 |
$69K |
| 99385 |
|
687 |
685 |
$68K |
| 76830 |
Ultrasound, transvaginal |
881 |
863 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
582 |
580 |
$52K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
635 |
633 |
$50K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
636 |
621 |
$38K |
| 54150 |
|
566 |
564 |
$34K |
| 76801 |
|
423 |
418 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
486 |
483 |
$28K |
| 36415 |
Collection of venous blood by venipuncture |
8,653 |
7,935 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,836 |
2,698 |
$24K |
| 99386 |
|
145 |
145 |
$17K |
| 99459 |
|
1,267 |
1,256 |
$16K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
15 |
15 |
$15K |
| 59425 |
|
28 |
28 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
190 |
185 |
$14K |
| 90715 |
|
364 |
362 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
322 |
322 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
999 |
982 |
$12K |
| 58300 |
|
213 |
212 |
$12K |
| 81025 |
|
1,542 |
1,533 |
$10K |
| 57454 |
|
66 |
66 |
$6K |
| 90651 |
|
12 |
12 |
$3K |
| 58301 |
|
52 |
50 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
54 |
46 |
$3K |
| 90686 |
|
125 |
121 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
53 |
40 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
53 |
52 |
$2K |
| 58558 |
|
13 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 81003 |
|
207 |
200 |
$294.01 |
| 90656 |
|
12 |
12 |
$267.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$238.00 |
| 99442 |
|
17 |
17 |
$200.06 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,090 |
1,062 |
$0.00 |
| 3074F |
|
4,705 |
4,351 |
$0.00 |
| 3079F |
|
2,010 |
1,911 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
4,940 |
4,645 |
$0.00 |
| 3075F |
|
430 |
417 |
$0.00 |
| 3080F |
|
59 |
53 |
$0.00 |
| 3078F |
|
3,299 |
3,084 |
$0.00 |
| 0502F |
|
354 |
189 |
$0.00 |
| 3077F |
|
264 |
247 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
19 |
18 |
$0.00 |