| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
942 |
942 |
$876K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
815 |
813 |
$608K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,720 |
7,319 |
$569K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,267 |
9,687 |
$524K |
| 58558 |
|
945 |
921 |
$460K |
| 76830 |
Ultrasound, transvaginal |
5,445 |
5,338 |
$398K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,900 |
3,897 |
$308K |
| 59514 |
|
352 |
345 |
$293K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
140 |
140 |
$291K |
| 59430 |
|
878 |
877 |
$208K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,324 |
2,320 |
$206K |
| 99385 |
|
1,667 |
1,665 |
$160K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,991 |
1,988 |
$154K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,661 |
1,595 |
$133K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,245 |
1,238 |
$124K |
| 59025 |
Fetal non-stress test |
4,335 |
1,696 |
$123K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,730 |
1,599 |
$117K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
122 |
122 |
$117K |
| 99215 |
Prolong outpt/office vis |
972 |
933 |
$105K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,853 |
1,618 |
$103K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,578 |
1,576 |
$103K |
| 99386 |
|
744 |
742 |
$85K |
| 76801 |
|
1,179 |
1,152 |
$84K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
5,317 |
5,292 |
$74K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,490 |
1,225 |
$72K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,986 |
1,985 |
$63K |
| 59425 |
|
108 |
108 |
$56K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
679 |
673 |
$39K |
| 81025 |
|
5,523 |
5,416 |
$38K |
| 58300 |
|
601 |
600 |
$37K |
| 54150 |
|
595 |
594 |
$35K |
| 76818 |
|
410 |
238 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
901 |
833 |
$27K |
| 99459 |
|
1,959 |
1,931 |
$27K |
| 58301 |
|
421 |
417 |
$26K |
| 76376 |
|
1,541 |
1,533 |
$21K |
| 90715 |
|
542 |
542 |
$19K |
| 81002 |
|
6,680 |
6,562 |
$17K |
| 93975 |
|
88 |
88 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
972 |
959 |
$13K |
| 96127 |
|
3,936 |
3,925 |
$11K |
| 57454 |
|
106 |
106 |
$11K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
12 |
12 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,100 |
1,029 |
$9K |
| 82274 |
|
826 |
812 |
$9K |
| 87210 |
|
1,583 |
1,546 |
$7K |
| 58340 |
|
38 |
38 |
$5K |
| 76820 |
|
174 |
101 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,001 |
972 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
140 |
96 |
$4K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
315 |
314 |
$4K |
| 82120 |
|
1,546 |
1,507 |
$3K |
| 99234 |
|
40 |
37 |
$3K |
| 76831 |
|
25 |
25 |
$2K |
| 90686 |
|
55 |
55 |
$1K |
| 81003 |
|
668 |
658 |
$1K |
| 90658 |
|
34 |
34 |
$737.90 |
| 58100 |
|
13 |
13 |
$651.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$488.18 |
| 90688 |
|
13 |
13 |
$238.18 |
| 96160 |
|
484 |
473 |
$200.53 |
| 87081 |
|
14 |
14 |
$71.37 |
| 87220 |
|
25 |
25 |
$68.32 |
| 99072 |
|
641 |
513 |
$0.00 |
| 0502F |
|
54 |
42 |
$0.00 |
| 57150 |
|
15 |
15 |
$0.00 |
| 0503F |
|
13 |
13 |
$0.00 |