| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,381 |
16,462 |
$1.32M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,850 |
1,813 |
$1.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,938 |
15,868 |
$763K |
| 59514 |
|
756 |
735 |
$484K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
6,926 |
3,297 |
$480K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,502 |
2,463 |
$331K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,360 |
3,316 |
$275K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,205 |
3,162 |
$255K |
| 59430 |
|
2,673 |
2,558 |
$246K |
| 59025 |
Fetal non-stress test |
5,718 |
3,135 |
$217K |
| 76813 |
|
1,811 |
1,776 |
$161K |
| 76818 |
|
2,254 |
1,192 |
$160K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,437 |
2,395 |
$153K |
| 76801 |
|
1,653 |
1,602 |
$151K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,719 |
1,690 |
$143K |
| 76830 |
Ultrasound, transvaginal |
1,131 |
1,107 |
$103K |
| 81002 |
|
26,916 |
16,158 |
$65K |
| 99235 |
|
377 |
341 |
$54K |
| 81025 |
|
4,347 |
4,211 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
362 |
361 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,111 |
801 |
$13K |
| 99219 |
|
120 |
112 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
41 |
40 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
24 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
32 |
28 |
$2K |
| 90715 |
|
28 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
100 |
$1K |
| 57454 |
|
12 |
12 |
$996.26 |
| 90686 |
|
35 |
34 |
$490.56 |
| 90756 |
|
18 |
18 |
$438.79 |
| 99051 |
|
33 |
23 |
$180.73 |
| 87210 |
|
32 |
31 |
$99.52 |
| 0502F |
|
411 |
292 |
$0.00 |
| 99080 |
|
205 |
201 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
77 |
77 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
85 |
79 |
$0.00 |
| 99024 |
|
109 |
107 |
$0.00 |
| 0503F |
|
399 |
394 |
$0.00 |
| 0500F |
|
448 |
442 |
$0.00 |