| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,069 |
11,697 |
$815K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
877 |
857 |
$523K |
| 59514 |
|
1,118 |
1,043 |
$512K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,086 |
3,597 |
$335K |
| 99236 |
Prolong inpt eval add15 m |
1,466 |
1,251 |
$239K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,043 |
1,977 |
$216K |
| 59430 |
|
1,223 |
1,200 |
$116K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,462 |
1,409 |
$116K |
| 76830 |
Ultrasound, transvaginal |
1,073 |
964 |
$99K |
| 59025 |
Fetal non-stress test |
2,625 |
1,706 |
$97K |
| 99000 |
|
5,967 |
4,942 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
693 |
670 |
$49K |
| 90715 |
|
1,048 |
1,005 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,444 |
1,272 |
$29K |
| 81002 |
|
12,503 |
8,414 |
$25K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
282 |
264 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,487 |
1,383 |
$16K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
447 |
428 |
$10K |
| 87511 |
|
449 |
429 |
$10K |
| 87481 |
|
449 |
429 |
$10K |
| 90688 |
|
410 |
393 |
$7K |
| 99051 |
|
277 |
257 |
$590.87 |
| 81025 |
|
57 |
56 |
$243.62 |
| 0502F |
|
13,927 |
8,972 |
$0.00 |
| 0503F |
|
1,159 |
1,139 |
$0.00 |
| 0501F |
|
1,933 |
1,863 |
$0.00 |