| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
32,845 |
18,681 |
$1.98M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
3,200 |
3,193 |
$1.67M |
| Z1034 |
|
27,278 |
16,990 |
$1.59M |
| 59514 |
|
1,320 |
1,318 |
$686K |
| Z1032 |
|
4,722 |
4,719 |
$662K |
| Z6500 |
|
4,595 |
4,593 |
$567K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,496 |
8,678 |
$421K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,324 |
4,309 |
$392K |
| 99215 |
Prolong outpt/office vis |
2,898 |
2,880 |
$360K |
| J3490 |
Unclassified drugs |
3,794 |
3,320 |
$266K |
| 59430 |
|
3,871 |
3,296 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,687 |
2,497 |
$201K |
| 3351F |
|
2,619 |
2,608 |
$164K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,933 |
2,689 |
$145K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,985 |
1,984 |
$131K |
| Z6400 |
|
10,167 |
9,046 |
$129K |
| Z6410 |
|
10,269 |
8,002 |
$120K |
| 59025 |
Fetal non-stress test |
5,136 |
2,824 |
$115K |
| 0500F |
|
1,546 |
1,544 |
$112K |
| 76801 |
|
1,386 |
1,381 |
$103K |
| 90715 |
|
1,306 |
1,248 |
$86K |
| Z6406 |
|
6,814 |
5,419 |
$64K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
692 |
681 |
$56K |
| Z1038 |
|
990 |
989 |
$54K |
| 88141 |
|
1,013 |
606 |
$51K |
| Z6204 |
|
3,999 |
3,791 |
$45K |
| Z6202 |
|
3,767 |
3,761 |
$44K |
| Z6404 |
|
3,772 |
3,767 |
$41K |
| 81025 |
|
7,181 |
6,928 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,776 |
1,646 |
$32K |
| Z6302 |
|
3,750 |
3,746 |
$29K |
| Z6414 |
|
2,009 |
1,943 |
$20K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
13 |
13 |
$20K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
363 |
360 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
50 |
$15K |
| 99401 |
|
862 |
815 |
$14K |
| Z6208 |
|
1,259 |
1,235 |
$14K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
806 |
534 |
$12K |
| 90658 |
|
462 |
455 |
$10K |
| 11981 |
|
50 |
25 |
$8K |
| Z6308 |
|
881 |
876 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
89 |
$5K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
408 |
408 |
$5K |
| 85018 |
|
2,029 |
1,989 |
$4K |
| 81002 |
|
1,489 |
1,444 |
$3K |
| H2000 |
Comprehensive multidisciplinary evaluation |
12 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$2K |
| 97803 |
|
118 |
110 |
$2K |
| 90686 |
|
36 |
36 |
$745.92 |
| 99402 |
|
14 |
14 |
$445.06 |
| 96156 |
|
39 |
39 |
$210.25 |
| 97802 |
|
14 |
13 |
$193.50 |
| Z6304 |
|
14 |
14 |
$174.11 |