| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,597 |
31,352 |
$2.87M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,241 |
1,203 |
$1.58M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
360 |
360 |
$747K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,740 |
3,609 |
$489K |
| 59430 |
|
1,959 |
1,950 |
$381K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,085 |
3,387 |
$360K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,976 |
3,732 |
$298K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,562 |
2,742 |
$275K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,082 |
1,972 |
$203K |
| 76830 |
Ultrasound, transvaginal |
1,196 |
1,154 |
$140K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,132 |
1,127 |
$127K |
| 59426 |
|
148 |
127 |
$111K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
714 |
709 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
576 |
547 |
$59K |
| 59025 |
Fetal non-stress test |
1,369 |
1,002 |
$59K |
| 59410 |
|
41 |
41 |
$40K |
| 99218 |
|
253 |
231 |
$19K |
| 58300 |
|
148 |
128 |
$15K |
| 81025 |
|
1,350 |
1,294 |
$12K |
| 90715 |
|
247 |
242 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
852 |
826 |
$11K |
| 90658 |
|
450 |
447 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
85 |
84 |
$10K |
| 99234 |
|
123 |
114 |
$10K |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
15,597 |
13,003 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
17 |
16 |
$3K |
| 58301 |
|
25 |
25 |
$3K |
| 81002 |
|
507 |
506 |
$792.88 |
| 0502F |
|
10,296 |
7,575 |
$0.00 |
| 3015F |
|
273 |
271 |
$0.00 |
| 0500F |
|
1,293 |
1,282 |
$0.00 |
| 0503F |
|
1,451 |
1,451 |
$0.00 |