| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
936 |
932 |
$767K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
878 |
871 |
$667K |
| 59430 |
|
996 |
993 |
$198K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,872 |
1,840 |
$146K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,794 |
1,791 |
$146K |
| 99234 |
|
1,292 |
981 |
$93K |
| 59514 |
|
202 |
143 |
$92K |
| 59025 |
Fetal non-stress test |
3,469 |
1,660 |
$84K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
919 |
853 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,114 |
891 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,116 |
1,058 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
997 |
913 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,182 |
1,142 |
$29K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,303 |
1,299 |
$26K |
| 59425 |
|
53 |
53 |
$26K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
14 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,424 |
1,060 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
108 |
$10K |
| 90715 |
|
198 |
198 |
$7K |
| 99385 |
|
29 |
29 |
$3K |
| 81002 |
|
826 |
823 |
$2K |
| 76818 |
|
22 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
186 |
186 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
161 |
161 |
$1.46 |
| 0502F |
|
797 |
439 |
$0.00 |