| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
3,308 |
3,299 |
$2.82M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,686 |
2,671 |
$2.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,941 |
14,854 |
$710K |
| 59430 |
|
3,367 |
3,354 |
$689K |
| 59514 |
|
792 |
767 |
$639K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,393 |
5,946 |
$413K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,965 |
4,829 |
$321K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,655 |
3,648 |
$292K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,484 |
3,472 |
$281K |
| 59025 |
Fetal non-stress test |
10,434 |
4,618 |
$250K |
| 76801 |
|
3,607 |
3,572 |
$249K |
| 76830 |
Ultrasound, transvaginal |
3,172 |
3,159 |
$215K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,436 |
3,422 |
$191K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,256 |
2,932 |
$157K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,294 |
2,289 |
$140K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,131 |
1,337 |
$104K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,174 |
1,164 |
$102K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
833 |
833 |
$74K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
87 |
87 |
$69K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,143 |
1,007 |
$62K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,651 |
2,637 |
$56K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,325 |
4,731 |
$46K |
| 59425 |
|
105 |
104 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,541 |
1,513 |
$35K |
| 58300 |
|
508 |
504 |
$28K |
| 90791 |
Psychiatric diagnostic evaluation |
257 |
253 |
$27K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
25 |
24 |
$25K |
| 57454 |
|
244 |
244 |
$22K |
| 99385 |
|
103 |
102 |
$10K |
| 90384 |
|
67 |
67 |
$8K |
| 58301 |
|
93 |
93 |
$6K |
| 96127 |
|
1,465 |
1,442 |
$4K |
| 99386 |
|
24 |
24 |
$3K |
| 99494 |
|
43 |
43 |
$2K |
| 58100 |
|
24 |
24 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$1K |
| 99493 |
|
12 |
12 |
$1K |
| 81025 |
|
103 |
102 |
$692.09 |
| 96160 |
|
403 |
400 |
$400.32 |
| 87210 |
|
15 |
15 |
$67.48 |
| 0502F |
|
7,322 |
4,203 |
$0.00 |
| 0503F |
|
212 |
212 |
$0.00 |
| 0500F |
|
198 |
196 |
$0.00 |