| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
521 |
519 |
$326K |
| 59425 |
|
4,167 |
2,530 |
$315K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
841 |
841 |
$94K |
| 99205 |
Prolong outpt/office vis |
398 |
376 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,251 |
1,177 |
$45K |
| Z1034 |
|
484 |
306 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
181 |
181 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
188 |
182 |
$16K |
| H2000 |
Comprehensive multidisciplinary evaluation |
101 |
81 |
$14K |
| 59430 |
|
179 |
177 |
$14K |
| 76801 |
|
152 |
148 |
$12K |
| 76830 |
Ultrasound, transvaginal |
151 |
151 |
$11K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,178 |
575 |
$10K |
| 99385 |
|
69 |
69 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
214 |
207 |
$5K |
| 81025 |
|
708 |
699 |
$2K |
| Z6410 |
|
283 |
193 |
$2K |
| 96151 |
|
226 |
207 |
$2K |
| 59025 |
Fetal non-stress test |
163 |
147 |
$2K |
| 97803 |
|
214 |
198 |
$2K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
113 |
89 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$2K |
| Z6500 |
|
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
34 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
14 |
$762.02 |
| Z6400 |
|
46 |
45 |
$431.49 |
| Z6406 |
|
14 |
12 |
$106.74 |
| 81002 |
|
12 |
12 |
$20.64 |