| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,743 |
2,636 |
$1.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,445 |
26,587 |
$1.29M |
| 59514 |
|
1,708 |
1,655 |
$807K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,587 |
4,433 |
$380K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,351 |
6,180 |
$337K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,990 |
2,942 |
$310K |
| 76818 |
|
3,434 |
2,195 |
$292K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,595 |
4,430 |
$276K |
| 57250 |
|
1,266 |
1,177 |
$269K |
| 76801 |
|
2,409 |
2,360 |
$217K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,073 |
2,999 |
$216K |
| 59430 |
|
2,458 |
2,418 |
$213K |
| 76830 |
Ultrasound, transvaginal |
1,115 |
1,068 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,235 |
2,197 |
$101K |
| 81002 |
|
35,459 |
22,803 |
$100K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
111 |
111 |
$94K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
666 |
641 |
$42K |
| 99091 |
|
211 |
201 |
$35K |
| 99235 |
|
190 |
178 |
$24K |
| 81025 |
|
3,077 |
2,986 |
$21K |
| 99385 |
|
252 |
252 |
$20K |
| 58300 |
|
140 |
137 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,206 |
947 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
894 |
807 |
$12K |
| 11981 |
|
68 |
68 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
53 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$1K |
| 11982 |
|
12 |
12 |
$1K |
| 59025 |
Fetal non-stress test |
16 |
15 |
$478.51 |