| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,580 |
2,553 |
$1.91M |
| 59426 |
|
1,252 |
1,250 |
$1.06M |
| 59514 |
|
995 |
993 |
$834K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,867 |
6,462 |
$311K |
| 59430 |
|
1,339 |
1,334 |
$279K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,740 |
3,366 |
$229K |
| 59025 |
Fetal non-stress test |
6,443 |
3,082 |
$168K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,029 |
1,939 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,609 |
1,570 |
$104K |
| 76830 |
Ultrasound, transvaginal |
1,269 |
1,223 |
$83K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
964 |
964 |
$77K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,109 |
1,108 |
$73K |
| 76801 |
|
1,037 |
996 |
$70K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,097 |
901 |
$55K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
816 |
784 |
$44K |
| 90651 |
|
141 |
141 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
529 |
525 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
962 |
759 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,799 |
2,604 |
$24K |
| 59425 |
|
51 |
51 |
$23K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
210 |
209 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
788 |
760 |
$22K |
| 81025 |
|
3,063 |
2,982 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
223 |
212 |
$17K |
| 76818 |
|
275 |
192 |
$16K |
| 58300 |
|
319 |
313 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,031 |
1,016 |
$13K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
12 |
12 |
$12K |
| 90715 |
|
338 |
335 |
$12K |
| 99459 |
|
481 |
479 |
$7K |
| 96127 |
|
2,035 |
2,001 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
49 |
48 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
75 |
28 |
$3K |
| 99243 |
|
42 |
42 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
64 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
496 |
484 |
$2K |
| 90686 |
|
72 |
69 |
$1K |
| 76820 |
|
35 |
29 |
$956.73 |
| 85018 |
|
342 |
323 |
$740.59 |
| 58301 |
|
12 |
12 |
$695.09 |
| 99221 |
|
12 |
12 |
$684.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$476.00 |
| 81003 |
|
108 |
105 |
$174.61 |
| 83986 |
|
14 |
13 |
$35.36 |
| 0502F |
|
7,473 |
4,250 |
$0.86 |
| 3074F |
|
4,017 |
3,854 |
$0.06 |
| 3077F |
|
552 |
533 |
$0.04 |
| 3078F |
|
3,268 |
3,162 |
$0.04 |
| 3079F |
|
1,892 |
1,840 |
$0.04 |
| 0501F |
|
453 |
427 |
$0.04 |
| 3080F |
|
458 |
449 |
$0.02 |
| 0503F |
|
850 |
846 |
$0.00 |
| 0500F |
|
626 |
595 |
$0.00 |
| 3075F |
|
1,069 |
1,049 |
$0.00 |