| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
1,666 |
1,645 |
$1.36M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,747 |
1,717 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,548 |
7,150 |
$338K |
| 59430 |
|
1,600 |
1,588 |
$325K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,899 |
3,759 |
$256K |
| 59514 |
|
259 |
256 |
$218K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,296 |
2,267 |
$139K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,651 |
1,625 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,357 |
1,337 |
$122K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
949 |
932 |
$93K |
| 59425 |
|
203 |
202 |
$93K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,230 |
1,213 |
$79K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
969 |
959 |
$77K |
| 76801 |
|
995 |
976 |
$68K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
997 |
916 |
$63K |
| 59025 |
Fetal non-stress test |
1,897 |
999 |
$49K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
776 |
766 |
$46K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
691 |
632 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,088 |
1,054 |
$31K |
| 81025 |
|
2,814 |
2,759 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,823 |
1,655 |
$15K |
| 76820 |
|
527 |
473 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
346 |
340 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
139 |
139 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
307 |
303 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
186 |
185 |
$11K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
395 |
255 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
214 |
153 |
$8K |
| 99385 |
|
65 |
64 |
$7K |
| 76830 |
Ultrasound, transvaginal |
87 |
87 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
72 |
71 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
228 |
219 |
$3K |
| 57454 |
|
27 |
26 |
$2K |
| 90674 |
|
66 |
65 |
$1K |
| 96127 |
|
239 |
227 |
$954.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
119 |
$820.19 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
31 |
31 |
$719.50 |
| 94150 |
|
12 |
12 |
$120.92 |
| 99406 |
|
18 |
17 |
$112.60 |
| 81002 |
|
53 |
51 |
$111.52 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$31.63 |
| 82947 |
|
13 |
13 |
$28.67 |
| 0502F |
|
6,997 |
4,459 |
$0.05 |
| 3080F |
|
1,672 |
1,624 |
$0.00 |
| 3079F |
|
2,144 |
2,083 |
$0.00 |
| 3075F |
|
1,148 |
1,128 |
$0.00 |
| 1000F |
|
4,607 |
4,414 |
$0.00 |
| 3074F |
|
4,905 |
4,676 |
$0.00 |
| 4010F |
|
405 |
390 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
26 |
$0.00 |
| 1036F |
|
3,750 |
3,589 |
$0.00 |
| 3044F |
|
1,773 |
1,573 |
$0.00 |
| 0500F |
|
258 |
252 |
$0.00 |
| 4008F |
|
291 |
273 |
$0.00 |
| 1034F |
|
1,253 |
1,202 |
$0.00 |
| 3017F |
|
185 |
178 |
$0.00 |
| 3014F |
|
227 |
222 |
$0.00 |
| 1111F |
|
2,594 |
2,502 |
$0.00 |
| 3061F |
|
46 |
46 |
$0.00 |
| 4140F |
|
43 |
41 |
$0.00 |
| 4000F |
|
87 |
84 |
$0.00 |
| 1031F |
|
12 |
12 |
$0.00 |
| 3077F |
|
1,089 |
1,058 |
$0.00 |
| 4025F |
|
1,494 |
1,424 |
$0.00 |
| 3078F |
|
3,280 |
3,145 |
$0.00 |
| 1159F |
|
4,840 |
4,695 |
$0.00 |
| 3015F |
|
2,360 |
2,256 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
906 |
871 |
$0.00 |
| 4040F |
|
1,102 |
1,035 |
$0.00 |
| 1160F |
|
4,842 |
4,697 |
$0.00 |
| 3725F |
|
147 |
147 |
$0.00 |
| 4013F |
|
221 |
206 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
222 |
204 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
95 |
94 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
26 |
24 |
$0.00 |