| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
11,900 |
7,272 |
$942K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
664 |
664 |
$491K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,212 |
2,207 |
$226K |
| 99215 |
Prolong outpt/office vis |
1,274 |
1,267 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,678 |
3,495 |
$196K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,314 |
1,312 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,969 |
2,789 |
$107K |
| 59430 |
|
1,827 |
1,500 |
$103K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
187 |
186 |
$23K |
| 76813 |
|
146 |
145 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
221 |
$20K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
14 |
14 |
$16K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
305 |
305 |
$12K |
| 59514 |
|
15 |
15 |
$11K |
| 58661 |
|
12 |
12 |
$9K |
| Z1034 |
|
170 |
110 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
613 |
612 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
306 |
262 |
$8K |
| 88141 |
|
151 |
94 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
53 |
53 |
$5K |
| 58300 |
|
12 |
12 |
$3K |
| 58100 |
|
50 |
39 |
$3K |
| 76801 |
|
15 |
15 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 81025 |
|
388 |
385 |
$1K |
| J3490 |
Unclassified drugs |
26 |
26 |
$1K |
| 58301 |
|
13 |
13 |
$832.61 |
| 90715 |
|
14 |
14 |
$536.34 |
| 99000 |
|
24 |
24 |
$115.69 |
| 3351F |
|
242 |
241 |
$0.00 |
| 0500F |
|
316 |
316 |
$0.00 |
| 3353F |
|
14 |
14 |
$0.00 |