| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
6,729 |
3,280 |
$544K |
| 59425 |
|
2,576 |
2,064 |
$190K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
138 |
121 |
$77K |
| 59025 |
Fetal non-stress test |
2,543 |
1,320 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
997 |
875 |
$56K |
| 76830 |
Ultrasound, transvaginal |
568 |
528 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,507 |
1,348 |
$47K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
616 |
516 |
$46K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
272 |
228 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
366 |
335 |
$31K |
| 81002 |
|
11,141 |
6,617 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
276 |
$26K |
| 76801 |
|
331 |
278 |
$25K |
| 59430 |
|
165 |
135 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
260 |
222 |
$14K |
| 99234 |
|
166 |
121 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
63 |
41 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
53 |
41 |
$3K |
| 99354 |
|
56 |
44 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
39 |
$2K |
| 99385 |
|
42 |
38 |
$1K |
| 99000 |
|
376 |
340 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$473.36 |
| 99459 |
|
29 |
27 |
$440.79 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
51 |
43 |
$346.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$253.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
26 |
$194.83 |