| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
26,259 |
16,879 |
$2.19M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,975 |
1,966 |
$1.33M |
| 59514 |
|
597 |
594 |
$382K |
| 99205 |
Prolong outpt/office vis |
2,060 |
2,055 |
$330K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,720 |
4,280 |
$212K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,658 |
1,649 |
$204K |
| 59430 |
|
2,281 |
2,281 |
$192K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,408 |
1,403 |
$144K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,109 |
2,067 |
$138K |
| 76801 |
|
1,561 |
1,556 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,080 |
2,925 |
$115K |
| Z1034 |
|
1,973 |
1,366 |
$108K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,494 |
1,473 |
$98K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,483 |
1,420 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
986 |
984 |
$80K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,016 |
1,007 |
$68K |
| 99242 |
|
879 |
872 |
$61K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
38 |
38 |
$41K |
| 99222 |
Initial hospital care, per day, moderate complexity |
240 |
213 |
$23K |
| 11981 |
|
39 |
39 |
$10K |
| 81025 |
|
3,514 |
3,456 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
513 |
492 |
$9K |
| 76830 |
Ultrasound, transvaginal |
54 |
53 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
23 |
15 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15 |
15 |
$1K |
| 59025 |
Fetal non-stress test |
61 |
57 |
$1K |
| 99442 |
|
26 |
26 |
$927.68 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
60 |
$874.08 |
| Z1038 |
|
12 |
12 |
$653.16 |
| 81002 |
|
26 |
25 |
$43.00 |