| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
10,073 |
7,470 |
$616K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
445 |
444 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,725 |
4,636 |
$213K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,214 |
2,214 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,364 |
4,207 |
$128K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,745 |
881 |
$109K |
| 59025 |
Fetal non-stress test |
4,252 |
1,247 |
$103K |
| 99215 |
Prolong outpt/office vis |
794 |
790 |
$100K |
| 59430 |
|
1,600 |
1,414 |
$88K |
| Z1034 |
|
1,603 |
1,056 |
$87K |
| 76801 |
|
942 |
905 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
811 |
811 |
$53K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
310 |
308 |
$48K |
| 76830 |
Ultrasound, transvaginal |
671 |
671 |
$44K |
| 88141 |
|
3,172 |
3,170 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
420 |
420 |
$28K |
| 59514 |
|
26 |
25 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
723 |
714 |
$12K |
| 90715 |
|
303 |
300 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
328 |
305 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
212 |
212 |
$6K |
| 81025 |
|
2,094 |
2,083 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
53 |
52 |
$5K |
| 58100 |
|
73 |
72 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
52 |
52 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
518 |
516 |
$2K |
| 90662 |
|
29 |
29 |
$2K |
| 90674 |
|
33 |
33 |
$1K |
| 90756 |
|
31 |
30 |
$970.28 |
| 81002 |
|
277 |
272 |
$589.82 |
| 3351F |
|
146 |
146 |
$0.00 |
| 0500F |
|
147 |
147 |
$0.00 |