| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
8,692 |
4,716 |
$443K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,028 |
6,452 |
$434K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
406 |
401 |
$350K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,194 |
2,894 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,576 |
2,288 |
$187K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,079 |
1,976 |
$173K |
| 76830 |
Ultrasound, transvaginal |
2,108 |
1,987 |
$136K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,311 |
1,218 |
$98K |
| 59025 |
Fetal non-stress test |
3,153 |
1,233 |
$81K |
| 76818 |
|
1,317 |
584 |
$81K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,522 |
1,447 |
$80K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
910 |
743 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,350 |
1,050 |
$54K |
| 0500F |
|
891 |
780 |
$50K |
| 76813 |
|
627 |
589 |
$43K |
| 59430 |
|
435 |
362 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
378 |
360 |
$32K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
23 |
12 |
$23K |
| 99385 |
|
150 |
146 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
304 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
156 |
154 |
$11K |
| 81025 |
|
2,582 |
2,175 |
$11K |
| 80305 |
|
1,070 |
897 |
$9K |
| 54150 |
|
90 |
90 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
703 |
590 |
$6K |
| 96127 |
|
344 |
289 |
$5K |
| 76801 |
|
45 |
40 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
44 |
40 |
$3K |
| 81002 |
|
1,083 |
965 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
39 |
$573.66 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
13 |
$0.00 |