| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,125 |
1,085 |
$1.02M |
| 0502F |
|
5,866 |
3,834 |
$293K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,894 |
3,237 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,112 |
760 |
$130K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,483 |
1,126 |
$106K |
| 59025 |
Fetal non-stress test |
1,694 |
1,005 |
$54K |
| 76830 |
Ultrasound, transvaginal |
485 |
474 |
$34K |
| 0500F |
|
568 |
498 |
$32K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
392 |
366 |
$30K |
| 76801 |
|
418 |
388 |
$30K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
463 |
452 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
309 |
300 |
$25K |
| 59514 |
|
13 |
13 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
168 |
147 |
$14K |
| 59430 |
|
66 |
53 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
329 |
281 |
$8K |
| 81003 |
|
3,813 |
2,579 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
87 |
67 |
$6K |
| 81002 |
|
2,162 |
1,349 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
45 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
44 |
$3K |
| 81025 |
|
761 |
626 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
268 |
225 |
$3K |
| 96127 |
|
95 |
82 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$1K |
| 54150 |
|
15 |
15 |
$1K |
| 99000 |
|
107 |
87 |
$0.00 |