| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
666 |
641 |
$391K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,425 |
5,855 |
$311K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,249 |
8,566 |
$307K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,066 |
1,566 |
$253K |
| 59514 |
|
365 |
357 |
$214K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,420 |
1,388 |
$125K |
| 76801 |
|
1,429 |
1,334 |
$113K |
| 59430 |
|
1,206 |
1,169 |
$112K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,673 |
1,416 |
$101K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,339 |
1,313 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
928 |
897 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
735 |
710 |
$46K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
288 |
283 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
316 |
308 |
$20K |
| 54150 |
|
115 |
106 |
$14K |
| 81025 |
|
2,198 |
2,086 |
$13K |
| 76820 |
|
247 |
108 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
863 |
806 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$703.44 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$615.89 |
| 59025 |
Fetal non-stress test |
12 |
12 |
$333.74 |