| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
987 |
951 |
$895K |
| 0502F |
|
8,238 |
4,719 |
$467K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,326 |
3,570 |
$251K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,626 |
986 |
$196K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,927 |
1,331 |
$138K |
| 59514 |
|
81 |
80 |
$83K |
| 0500F |
|
1,074 |
894 |
$74K |
| 59430 |
|
535 |
399 |
$62K |
| 59025 |
Fetal non-stress test |
1,839 |
1,018 |
$60K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
415 |
337 |
$34K |
| 76801 |
|
378 |
333 |
$27K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
346 |
240 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
260 |
248 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
229 |
228 |
$15K |
| 76830 |
Ultrasound, transvaginal |
207 |
202 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
300 |
293 |
$14K |
| 81002 |
|
4,609 |
2,373 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
146 |
109 |
$10K |
| 96127 |
|
559 |
451 |
$8K |
| 81003 |
|
3,013 |
2,132 |
$6K |
| 81025 |
|
1,126 |
978 |
$5K |
| 76818 |
|
80 |
47 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
209 |
166 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$979.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$385.72 |
| 99000 |
|
82 |
65 |
$0.00 |