| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
997 |
959 |
$913K |
| 0502F |
|
15,948 |
7,042 |
$797K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,138 |
2,019 |
$386K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,871 |
3,170 |
$344K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,262 |
1,751 |
$162K |
| 59430 |
|
937 |
768 |
$99K |
| 59025 |
Fetal non-stress test |
2,780 |
966 |
$94K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
574 |
497 |
$44K |
| 0500F |
|
957 |
858 |
$44K |
| 76801 |
|
523 |
489 |
$37K |
| 96160 |
|
2,313 |
2,015 |
$33K |
| 99218 |
|
425 |
381 |
$29K |
| 59514 |
|
26 |
26 |
$27K |
| 96127 |
|
1,597 |
1,332 |
$23K |
| 76813 |
|
379 |
358 |
$23K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
292 |
245 |
$21K |
| 76830 |
Ultrasound, transvaginal |
228 |
192 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
486 |
405 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
100 |
90 |
$8K |
| 81025 |
|
720 |
532 |
$4K |
| 90715 |
|
59 |
46 |
$2K |
| 81000 |
|
702 |
374 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
362 |
230 |
$1K |
| 99234 |
|
14 |
14 |
$1K |
| 99459 |
|
34 |
33 |
$497.08 |
| 90686 |
|
15 |
15 |
$272.99 |
| 99072 |
|
88 |
66 |
$237.50 |
| 81002 |
|
46 |
23 |
$119.60 |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
93 |
83 |
$0.00 |
| A4928 |
Surgical mask, per 20 |
93 |
82 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
38 |
$0.00 |