| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
109 |
104 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,260 |
1,003 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,495 |
1,088 |
$40K |
| 76801 |
|
452 |
449 |
$39K |
| 76818 |
|
384 |
165 |
$30K |
| 59514 |
|
53 |
43 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
204 |
170 |
$16K |
| 76820 |
|
406 |
170 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
223 |
213 |
$12K |
| 59430 |
|
139 |
124 |
$12K |
| 81025 |
|
1,580 |
1,441 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
132 |
121 |
$10K |
| 76813 |
|
100 |
97 |
$8K |
| 81003 |
|
4,641 |
3,199 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
148 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
70 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
57 |
51 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
50 |
48 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
122 |
85 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
70 |
$4K |
| 54150 |
|
52 |
50 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
347 |
287 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
355 |
307 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
38 |
29 |
$2K |
| 76830 |
Ultrasound, transvaginal |
27 |
26 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
34 |
32 |
$2K |
| 99235 |
|
13 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
33 |
$604.98 |
| 82950 |
|
159 |
149 |
$538.08 |
| 59025 |
Fetal non-stress test |
74 |
44 |
$327.53 |
| 85018 |
|
166 |
156 |
$289.52 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
86 |
83 |
$0.00 |
| 99024 |
|
26 |
24 |
$0.00 |