| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
39,464 |
30,415 |
$2.20M |
| 59426 |
|
29,707 |
16,155 |
$1.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,940 |
21,902 |
$1.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,660 |
5,808 |
$471K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,399 |
3,360 |
$267K |
| 59025 |
Fetal non-stress test |
12,308 |
8,585 |
$237K |
| 59430 |
|
3,519 |
2,847 |
$219K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,622 |
2,395 |
$166K |
| 76830 |
Ultrasound, transvaginal |
1,832 |
1,537 |
$114K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,718 |
1,365 |
$78K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,200 |
1,112 |
$62K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,063 |
776 |
$51K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,004 |
522 |
$42K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,441 |
1,256 |
$40K |
| 76801 |
|
695 |
517 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,469 |
1,307 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,345 |
2,820 |
$31K |
| 81025 |
|
4,579 |
4,100 |
$29K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
548 |
489 |
$27K |
| 90686 |
|
1,500 |
1,271 |
$18K |
| 90715 |
|
993 |
871 |
$17K |
| 99459 |
|
973 |
857 |
$16K |
| 99354 |
|
1,082 |
869 |
$14K |
| 59514 |
|
321 |
254 |
$13K |
| 81002 |
|
3,156 |
2,205 |
$8K |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
98 |
88 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
158 |
144 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
768 |
639 |
$4K |
| 99215 |
Prolong outpt/office vis |
44 |
38 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
359 |
287 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
140 |
109 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
193 |
177 |
$3K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
35 |
28 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
239 |
85 |
$2K |
| 90656 |
|
105 |
100 |
$2K |
| 81003 |
|
597 |
413 |
$1K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
34 |
29 |
$934.82 |
| 99385 |
|
143 |
139 |
$286.91 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15 |
12 |
$285.50 |
| 58300 |
|
136 |
114 |
$189.33 |
| 99406 |
|
16 |
15 |
$171.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$116.52 |
| 99386 |
|
12 |
12 |
$112.79 |
| 11981 |
|
19 |
18 |
$97.07 |
| J2790 |
Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) |
29 |
26 |
$80.08 |
| 58100 |
|
12 |
12 |
$78.93 |
| 58301 |
|
29 |
26 |
$0.00 |
| 58661 |
|
15 |
12 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$0.00 |
| 11982 |
|
27 |
26 |
$0.00 |