| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
34,391 |
20,532 |
$2.75M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,747 |
2,738 |
$1.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,319 |
17,281 |
$932K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
5,970 |
5,723 |
$589K |
| 59514 |
|
989 |
978 |
$561K |
| 99205 |
Prolong outpt/office vis |
3,277 |
3,269 |
$517K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
367 |
363 |
$443K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,630 |
2,626 |
$318K |
| Z1034 |
|
5,313 |
3,396 |
$290K |
| J3490 |
Unclassified drugs |
3,022 |
2,787 |
$266K |
| 59430 |
|
2,651 |
2,645 |
$208K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,770 |
1,769 |
$167K |
| 11981 |
|
689 |
367 |
$103K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
585 |
502 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
796 |
745 |
$68K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
996 |
982 |
$65K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
796 |
734 |
$64K |
| 58300 |
|
558 |
281 |
$63K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
452 |
452 |
$56K |
| Z1032 |
|
372 |
372 |
$42K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
819 |
476 |
$40K |
| 59025 |
Fetal non-stress test |
1,339 |
1,161 |
$37K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
649 |
591 |
$35K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,833 |
2,582 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,918 |
3,057 |
$17K |
| 81025 |
|
4,917 |
4,852 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
99 |
$14K |
| 11976 |
|
124 |
62 |
$9K |
| 76830 |
Ultrasound, transvaginal |
135 |
130 |
$9K |
| 58301 |
|
211 |
107 |
$8K |
| 99234 |
|
30 |
28 |
$3K |
| 11982 |
|
28 |
14 |
$2K |
| 90384 |
|
17 |
14 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
16 |
$1K |
| 81003 |
|
30 |
26 |
$39.25 |
| 3079F |
|
150 |
150 |
$0.00 |
| 3074F |
|
534 |
534 |
$0.00 |
| 3078F |
|
388 |
388 |
$0.00 |