| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,565 |
1,594 |
$112K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
145 |
108 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
97 |
93 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
44 |
39 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
177 |
119 |
$2K |
| 90686 |
|
65 |
40 |
$1K |
| 76801 |
|
26 |
25 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
15 |
$467.35 |
| 90715 |
|
12 |
12 |
$362.79 |