| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
386 |
365 |
$348K |
| 0502F |
|
4,786 |
3,494 |
$201K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,045 |
1,687 |
$124K |
| 76830 |
Ultrasound, transvaginal |
2,203 |
1,817 |
$124K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,214 |
1,812 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,062 |
903 |
$79K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,448 |
1,200 |
$78K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,339 |
979 |
$69K |
| 59514 |
|
257 |
166 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,589 |
1,389 |
$68K |
| 76801 |
|
1,014 |
862 |
$57K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
413 |
381 |
$34K |
| 76818 |
|
476 |
258 |
$23K |
| 0500F |
|
535 |
483 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
344 |
310 |
$14K |
| 59025 |
Fetal non-stress test |
617 |
324 |
$12K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
251 |
204 |
$11K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
248 |
203 |
$11K |
| 0503F |
|
197 |
185 |
$9K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
202 |
122 |
$8K |
| 87481 |
|
124 |
67 |
$7K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
239 |
166 |
$7K |
| 87511 |
|
119 |
67 |
$5K |
| 76857 |
|
97 |
68 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
164 |
153 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
520 |
427 |
$5K |
| 99234 |
|
56 |
49 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
52 |
34 |
$3K |
| 81025 |
|
921 |
821 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
81 |
57 |
$2K |
| 76820 |
|
66 |
17 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
14 |
$1K |
| 87210 |
|
224 |
193 |
$932.54 |
| 99459 |
|
36 |
34 |
$511.70 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$465.32 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$391.68 |
| 81002 |
|
13 |
13 |
$26.00 |