| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
443 |
430 |
$252K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,258 |
6,445 |
$234K |
| 59514 |
|
188 |
182 |
$124K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,069 |
1,040 |
$112K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,003 |
973 |
$87K |
| 76830 |
Ultrasound, transvaginal |
889 |
857 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,614 |
1,427 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
716 |
700 |
$39K |
| 59430 |
|
394 |
381 |
$37K |
| 81002 |
|
11,463 |
6,754 |
$29K |
| 76801 |
|
315 |
306 |
$27K |
| 59025 |
Fetal non-stress test |
468 |
300 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
229 |
220 |
$17K |
| 99000 |
|
1,550 |
1,353 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
339 |
325 |
$15K |
| 99234 |
|
179 |
157 |
$15K |
| 90715 |
|
383 |
372 |
$15K |
| 81025 |
|
975 |
939 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
526 |
496 |
$6K |
| 90656 |
|
349 |
332 |
$6K |
| 99235 |
|
48 |
43 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
67 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
36 |
36 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
172 |
155 |
$2K |
| 99201 |
|
12 |
12 |
$302.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$105.04 |