| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
5,506 |
5,448 |
$4.21M |
| 59514 |
|
4,762 |
3,952 |
$3.45M |
| 59426 |
|
3,336 |
3,330 |
$2.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,434 |
17,774 |
$941K |
| 59425 |
|
2,197 |
2,197 |
$841K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,307 |
20,108 |
$717K |
| 59430 |
|
3,880 |
3,874 |
$603K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,725 |
7,717 |
$483K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,391 |
4,337 |
$324K |
| 59025 |
Fetal non-stress test |
17,801 |
7,361 |
$307K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,491 |
2,256 |
$280K |
| 54150 |
|
5,575 |
5,566 |
$275K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,735 |
3,733 |
$264K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
10,113 |
9,357 |
$261K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,758 |
3,752 |
$204K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,861 |
3,843 |
$175K |
| 99385 |
|
2,264 |
2,262 |
$160K |
| 99386 |
|
1,616 |
1,613 |
$139K |
| 99215 |
Prolong outpt/office vis |
1,385 |
1,374 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,329 |
4,955 |
$91K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,070 |
1,995 |
$89K |
| 99222 |
Initial hospital care, per day, moderate complexity |
982 |
960 |
$77K |
| 99223 |
Prolong inpt eval add15 m |
670 |
659 |
$75K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,428 |
3,056 |
$74K |
| 58300 |
|
2,302 |
2,290 |
$70K |
| 58301 |
|
1,575 |
1,562 |
$61K |
| 99233 |
Prolong inpt eval add15 m |
862 |
523 |
$50K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,963 |
1,030 |
$44K |
| 76820 |
|
2,327 |
1,192 |
$36K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,562 |
943 |
$35K |
| 59612 |
|
29 |
28 |
$26K |
| 58100 |
|
651 |
647 |
$26K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
855 |
855 |
$25K |
| 99205 |
Prolong outpt/office vis |
247 |
246 |
$24K |
| 76825 |
|
363 |
357 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
600 |
598 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
788 |
693 |
$15K |
| 58558 |
|
113 |
111 |
$14K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
195 |
190 |
$12K |
| 57454 |
|
114 |
114 |
$9K |
| 99217 |
|
226 |
223 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
979 |
965 |
$8K |
| 76821 |
|
327 |
182 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
70 |
69 |
$6K |
| 76827 |
|
313 |
305 |
$5K |
| 11981 |
|
112 |
112 |
$5K |
| 76813 |
|
56 |
56 |
$2K |
| 99219 |
|
26 |
24 |
$2K |
| 11982 |
|
27 |
26 |
$1K |
| 57456 |
|
17 |
17 |
$1K |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$523.97 |
| 93325 |
|
149 |
141 |
$285.94 |
| 99201 |
|
19 |
19 |
$258.42 |
| 99406 |
|
34 |
34 |
$224.84 |
| 99000 |
|
244 |
244 |
$186.90 |
| 76376 |
|
26 |
26 |
$151.16 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
159 |
157 |
$80.42 |
| 98966 |
|
24 |
15 |
$0.01 |
| 3351F |
|
7,575 |
7,531 |
$0.00 |
| 0500F |
|
77 |
76 |
$0.00 |
| 3074F |
|
46 |
46 |
$0.00 |
| 3044F |
|
44 |
44 |
$0.00 |
| 3079F |
|
21 |
21 |
$0.00 |
| 0502F |
|
721 |
601 |
$0.00 |
| 3078F |
|
34 |
34 |
$0.00 |