| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
321 |
321 |
$280K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
184 |
184 |
$141K |
| 59025 |
Fetal non-stress test |
3,219 |
1,207 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,880 |
1,798 |
$86K |
| 59430 |
|
161 |
161 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
425 |
425 |
$34K |
| 76801 |
|
311 |
311 |
$21K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
743 |
742 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
253 |
250 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
53 |
53 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |