| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,417 |
1,372 |
$774K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,480 |
12,913 |
$449K |
| 59514 |
|
546 |
525 |
$339K |
| 59430 |
|
2,201 |
2,066 |
$171K |
| 76830 |
Ultrasound, transvaginal |
2,191 |
2,001 |
$159K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,829 |
1,758 |
$156K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,107 |
2,016 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,993 |
3,552 |
$144K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,069 |
1,939 |
$125K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,789 |
1,723 |
$107K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
2,325 |
2,218 |
$96K |
| 99000 |
|
9,873 |
8,641 |
$85K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,294 |
1,157 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,301 |
3,532 |
$75K |
| 59025 |
Fetal non-stress test |
2,250 |
1,581 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,322 |
1,286 |
$69K |
| 87800 |
|
2,361 |
2,245 |
$60K |
| 81002 |
|
19,610 |
13,028 |
$47K |
| 99385 |
|
588 |
569 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,665 |
3,509 |
$21K |
| 81025 |
|
3,235 |
3,032 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
366 |
352 |
$15K |
| 90715 |
|
471 |
445 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
793 |
760 |
$7K |
| 82950 |
|
1,972 |
1,871 |
$6K |
| 76857 |
|
190 |
171 |
$6K |
| 82947 |
|
1,964 |
1,775 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
45 |
44 |
$4K |
| 82951 |
|
619 |
573 |
$4K |
| 90674 |
|
237 |
232 |
$4K |
| 90678 |
|
15 |
15 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
398 |
331 |
$4K |
| 81000 |
|
944 |
886 |
$2K |
| 99234 |
|
13 |
12 |
$1K |
| 90661 |
|
57 |
57 |
$913.50 |
| 87481 |
|
37 |
19 |
$795.96 |
| 90756 |
|
14 |
14 |
$276.21 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
19 |
19 |
$265.32 |
| 87480 |
|
28 |
26 |
$218.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$109.77 |
| 99080 |
|
700 |
667 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
5,808 |
5,219 |
$0.00 |
| 0500F |
|
26 |
26 |
$0.00 |
| 0503F |
|
12 |
12 |
$0.00 |