| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
11,434 |
7,099 |
$678K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,041 |
9,920 |
$518K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,592 |
5,737 |
$434K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
604 |
601 |
$324K |
| 99235 |
|
3,322 |
1,564 |
$320K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,164 |
3,049 |
$244K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,512 |
1,483 |
$229K |
| 99215 |
Prolong outpt/office vis |
1,263 |
1,253 |
$143K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,054 |
1,315 |
$124K |
| 99223 |
Prolong inpt eval add15 m |
1,559 |
1,520 |
$117K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,738 |
1,369 |
$103K |
| Z1034 |
|
1,725 |
1,102 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
958 |
950 |
$89K |
| 59514 |
|
178 |
169 |
$86K |
| 99205 |
Prolong outpt/office vis |
795 |
793 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
558 |
557 |
$58K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,483 |
1,438 |
$53K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,726 |
3,426 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,164 |
1,078 |
$45K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
224 |
224 |
$24K |
| 59430 |
|
449 |
444 |
$19K |
| Z1032 |
|
148 |
148 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
195 |
195 |
$18K |
| 99245 |
|
134 |
134 |
$13K |
| 58300 |
|
92 |
51 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
515 |
509 |
$9K |
| 99451 |
|
317 |
267 |
$8K |
| 59025 |
Fetal non-stress test |
646 |
288 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
168 |
138 |
$6K |
| 81025 |
|
1,600 |
1,564 |
$4K |
| 99385 |
|
25 |
25 |
$3K |
| 96127 |
|
563 |
556 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
25 |
$3K |
| 90756 |
|
47 |
47 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
81 |
$1K |
| 90715 |
|
36 |
36 |
$1K |
| 99000 |
|
416 |
406 |
$1K |
| 76830 |
Ultrasound, transvaginal |
24 |
24 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$903.05 |
| 99243 |
|
12 |
12 |
$647.96 |
| J3490 |
Unclassified drugs |
15 |
15 |
$576.67 |
| 99441 |
|
19 |
18 |
$300.00 |