| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
19,529 |
11,697 |
$1.17M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,223 |
1,223 |
$659K |
| 99215 |
Prolong outpt/office vis |
2,184 |
2,160 |
$267K |
| 59430 |
|
3,910 |
3,170 |
$212K |
| 59514 |
|
385 |
384 |
$199K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,612 |
1,612 |
$88K |
| 90715 |
|
2,065 |
2,061 |
$75K |
| 3351F |
|
1,891 |
1,882 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,501 |
1,440 |
$64K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
53 |
53 |
$53K |
| 0500F |
|
764 |
764 |
$38K |
| J3490 |
Unclassified drugs |
613 |
514 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
288 |
288 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
391 |
378 |
$19K |
| 88141 |
|
348 |
179 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
802 |
724 |
$15K |
| 11981 |
|
52 |
52 |
$11K |
| 81025 |
|
3,009 |
2,999 |
$8K |
| 76801 |
|
102 |
98 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,541 |
1,529 |
$7K |
| 90656 |
|
183 |
183 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
44 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$1K |
| 99070 |
|
31 |
30 |
$536.92 |