| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
513 |
472 |
$256K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,555 |
4,497 |
$132K |
| 59430 |
|
1,181 |
1,050 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,778 |
2,164 |
$86K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,204 |
1,015 |
$78K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,332 |
1,230 |
$77K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
620 |
591 |
$76K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
910 |
776 |
$67K |
| 59514 |
|
107 |
55 |
$27K |
| 81002 |
|
9,110 |
5,749 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
498 |
481 |
$22K |
| 99215 |
Prolong outpt/office vis |
299 |
278 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
233 |
226 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
214 |
198 |
$11K |
| 59025 |
Fetal non-stress test |
231 |
155 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
152 |
147 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
71 |
41 |
$2K |
| 90688 |
|
73 |
66 |
$981.31 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
54 |
$783.13 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
54 |
$697.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
66 |
$486.08 |
| 81025 |
|
34 |
30 |
$205.20 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
13 |
$0.00 |
| 0502F |
|
91 |
43 |
$0.00 |