| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
2,235 |
2,231 |
$1.90M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,288 |
2,275 |
$1.73M |
| 59430 |
|
2,369 |
2,368 |
$481K |
| 59514 |
|
564 |
558 |
$480K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,771 |
4,765 |
$393K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,079 |
5,814 |
$373K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,262 |
7,052 |
$321K |
| 59025 |
Fetal non-stress test |
8,007 |
2,854 |
$201K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,080 |
2,075 |
$190K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,554 |
2,466 |
$168K |
| 99385 |
|
1,093 |
1,093 |
$108K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,317 |
1,313 |
$105K |
| 59425 |
|
237 |
237 |
$97K |
| 54150 |
|
1,564 |
1,558 |
$82K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
82 |
82 |
$82K |
| 90715 |
|
2,408 |
2,405 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,743 |
2,492 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
997 |
993 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
609 |
605 |
$50K |
| 36415 |
Collection of venous blood by venipuncture |
11,846 |
11,078 |
$42K |
| 99386 |
|
334 |
334 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,359 |
3,318 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,398 |
2,977 |
$31K |
| 76830 |
Ultrasound, transvaginal |
428 |
425 |
$29K |
| 58300 |
|
475 |
472 |
$24K |
| 81025 |
|
2,666 |
2,619 |
$18K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
13 |
13 |
$12K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
98 |
98 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
195 |
193 |
$11K |
| 76801 |
|
152 |
146 |
$10K |
| 58301 |
|
120 |
119 |
$6K |
| 90686 |
|
310 |
310 |
$6K |
| 90678 |
|
18 |
18 |
$6K |
| 96127 |
|
1,308 |
1,292 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
60 |
60 |
$2K |
| 90688 |
|
108 |
108 |
$2K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
340 |
312 |
$2K |
| 81003 |
|
999 |
970 |
$1K |
| 90658 |
|
92 |
92 |
$1K |
| 11981 |
|
12 |
12 |
$932.27 |
| 99459 |
|
62 |
62 |
$789.97 |
| 90656 |
|
31 |
31 |
$678.51 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
187 |
187 |
$601.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
31 |
$284.85 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
98 |
96 |
$49.80 |
| 0502F |
|
391 |
268 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 3351F |
|
4,987 |
4,916 |
$0.00 |
| 0503F |
|
29 |
29 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |
| 0500F |
|
45 |
42 |
$0.00 |