| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
20,185 |
12,835 |
$1.14M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,222 |
1,219 |
$628K |
| 99215 |
Prolong outpt/office vis |
2,268 |
2,241 |
$280K |
| Z1034 |
|
4,962 |
3,493 |
$274K |
| 59430 |
|
2,979 |
1,870 |
$174K |
| Z1032 |
|
858 |
858 |
$136K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,416 |
1,410 |
$124K |
| 76813 |
|
1,123 |
1,087 |
$114K |
| Z6500 |
|
845 |
845 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,712 |
1,689 |
$88K |
| 88141 |
|
1,241 |
659 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
832 |
820 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,752 |
1,694 |
$49K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
509 |
491 |
$41K |
| J3490 |
Unclassified drugs |
449 |
402 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,173 |
1,129 |
$37K |
| 81025 |
|
11,079 |
10,584 |
$34K |
| 59514 |
|
65 |
62 |
$32K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,103 |
1,092 |
$31K |
| Z6410 |
|
3,732 |
2,709 |
$29K |
| 90715 |
|
569 |
528 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
387 |
382 |
$17K |
| Z6400 |
|
969 |
959 |
$16K |
| 0500F |
|
328 |
325 |
$16K |
| 3351F |
|
265 |
263 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,524 |
1,506 |
$15K |
| 3353F |
|
192 |
192 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
595 |
532 |
$10K |
| 97803 |
|
412 |
262 |
$9K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
153 |
107 |
$9K |
| Z6406 |
|
701 |
652 |
$5K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,076 |
789 |
$5K |
| Z6204 |
|
447 |
422 |
$4K |
| Z6304 |
|
174 |
172 |
$1K |
| 90658 |
|
93 |
93 |
$1K |
| 58100 |
|
24 |
12 |
$843.96 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
30 |
25 |
$233.24 |
| 99401 |
|
29 |
24 |
$174.93 |