| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
1,328 |
1,326 |
$1.14M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
641 |
641 |
$492K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,754 |
4,560 |
$216K |
| 59430 |
|
886 |
886 |
$190K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,992 |
1,992 |
$178K |
| 59025 |
Fetal non-stress test |
4,993 |
1,918 |
$141K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,596 |
1,596 |
$129K |
| 76801 |
|
1,616 |
1,613 |
$113K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,880 |
2,879 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,219 |
2,178 |
$67K |
| 99385 |
|
581 |
581 |
$57K |
| 59514 |
|
66 |
65 |
$55K |
| 76830 |
Ultrasound, transvaginal |
634 |
634 |
$42K |
| 99386 |
|
345 |
345 |
$40K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
345 |
345 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
166 |
$15K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
14 |
14 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
183 |
182 |
$11K |
| 54150 |
|
132 |
131 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
39 |
39 |
$2K |
| 58300 |
|
14 |
14 |
$721.14 |
| 58301 |
|
12 |
12 |
$641.88 |