| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
8,497 |
5,252 |
$473K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
640 |
640 |
$344K |
| 3351F |
|
2,621 |
2,615 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,239 |
3,214 |
$175K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
122 |
122 |
$167K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,079 |
2,071 |
$163K |
| 99215 |
Prolong outpt/office vis |
1,302 |
1,297 |
$162K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,246 |
2,244 |
$155K |
| 0500F |
|
1,906 |
1,904 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,506 |
4,220 |
$149K |
| 59430 |
|
2,095 |
1,908 |
$137K |
| 88141 |
|
2,592 |
1,534 |
$130K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
74 |
74 |
$76K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,004 |
1,729 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,153 |
1,119 |
$32K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,012 |
1,005 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
345 |
345 |
$25K |
| J3490 |
Unclassified drugs |
417 |
410 |
$23K |
| 90715 |
|
640 |
627 |
$23K |
| 59514 |
|
37 |
37 |
$19K |
| 81025 |
|
3,507 |
3,423 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
116 |
116 |
$8K |
| 11981 |
|
54 |
27 |
$6K |
| 90656 |
|
151 |
149 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$148.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$106.08 |