| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
13,421 |
7,491 |
$604K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
390 |
381 |
$359K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,955 |
3,673 |
$275K |
| 76830 |
Ultrasound, transvaginal |
3,985 |
3,582 |
$271K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,361 |
3,222 |
$229K |
| 59025 |
Fetal non-stress test |
5,126 |
2,373 |
$168K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,668 |
1,517 |
$141K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,197 |
1,120 |
$89K |
| 59514 |
|
79 |
78 |
$84K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
998 |
942 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,150 |
1,005 |
$80K |
| 76813 |
|
1,036 |
1,007 |
$72K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
64 |
43 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,681 |
1,411 |
$52K |
| 59430 |
|
818 |
714 |
$45K |
| 81002 |
|
13,275 |
7,653 |
$33K |
| 96127 |
|
2,266 |
1,971 |
$32K |
| H1000 |
Prenatal care, at-risk assessment |
2,171 |
1,935 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
369 |
237 |
$26K |
| 58300 |
|
164 |
115 |
$14K |
| 81025 |
|
2,591 |
2,158 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
131 |
105 |
$9K |
| 76801 |
|
114 |
93 |
$7K |
| 54150 |
|
79 |
79 |
$6K |
| 0500F |
|
48 |
46 |
$5K |
| 87070 |
|
605 |
538 |
$4K |
| 99385 |
|
36 |
28 |
$3K |
| 99386 |
|
25 |
25 |
$3K |
| 0503F |
|
41 |
37 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
141 |
117 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
90 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
366 |
291 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
13 |
$452.60 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
102 |
92 |
$297.94 |