| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
26,243 |
15,925 |
$1.44M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,326 |
2,307 |
$1.14M |
| Z1034 |
|
7,302 |
4,534 |
$427K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,965 |
9,002 |
$338K |
| 99215 |
Prolong outpt/office vis |
2,941 |
2,930 |
$332K |
| 59514 |
|
615 |
612 |
$304K |
| 76813 |
|
2,214 |
2,107 |
$220K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,152 |
2,147 |
$195K |
| 59430 |
|
2,697 |
2,622 |
$168K |
| Z1032 |
|
930 |
930 |
$136K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,794 |
1,792 |
$122K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,781 |
1,776 |
$110K |
| 0500F |
|
1,212 |
1,211 |
$103K |
| 3351F |
|
1,422 |
1,422 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,568 |
1,452 |
$70K |
| 76830 |
Ultrasound, transvaginal |
1,017 |
1,016 |
$67K |
| Z6500 |
|
348 |
348 |
$43K |
| J3490 |
Unclassified drugs |
526 |
485 |
$35K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
633 |
632 |
$32K |
| 88141 |
|
507 |
270 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
329 |
329 |
$24K |
| 58100 |
|
296 |
154 |
$9K |
| 3353F |
|
58 |
58 |
$4K |
| Z6406 |
|
240 |
240 |
$3K |
| Z6204 |
|
240 |
240 |
$2K |
| Z6304 |
|
240 |
240 |
$2K |
| 57454 |
|
26 |
14 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
22 |
13 |
$1K |
| Z6400 |
|
116 |
116 |
$891.04 |
| Z1038 |
|
13 |
13 |
$713.04 |
| Z6414 |
|
13 |
13 |
$167.30 |
| Z6208 |
|
13 |
13 |
$122.63 |
| Z6308 |
|
13 |
13 |
$106.74 |