| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,672 |
1,603 |
$908K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,689 |
17,634 |
$889K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,203 |
3,836 |
$468K |
| 59514 |
|
659 |
620 |
$402K |
| 59430 |
|
2,910 |
2,605 |
$242K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,825 |
1,797 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,169 |
3,416 |
$180K |
| 59025 |
Fetal non-stress test |
4,946 |
2,324 |
$171K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,676 |
2,239 |
$152K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,726 |
1,698 |
$129K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,583 |
1,502 |
$110K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,094 |
1,083 |
$71K |
| 81000 |
|
17,076 |
9,720 |
$50K |
| 81002 |
|
12,421 |
6,843 |
$34K |
| 58700 |
|
102 |
76 |
$30K |
| 76830 |
Ultrasound, transvaginal |
319 |
312 |
$29K |
| 81025 |
|
3,633 |
3,473 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
241 |
239 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
856 |
710 |
$9K |
| 58300 |
|
31 |
30 |
$2K |
| 58301 |
|
13 |
12 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
26 |
$331.11 |
| 99442 |
|
19 |
14 |
$70.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
14 |
$8.16 |