| Code | Description | Claims | Beneficiaries | Total Paid |
| 59426 |
|
750 |
739 |
$622K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,172 |
5,499 |
$359K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
447 |
446 |
$350K |
| 58558 |
|
434 |
434 |
$276K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,669 |
2,666 |
$227K |
| 59430 |
|
426 |
420 |
$83K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,271 |
1,265 |
$77K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
922 |
921 |
$75K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
991 |
965 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,278 |
1,226 |
$52K |
| 59025 |
Fetal non-stress test |
1,891 |
776 |
$33K |
| 59514 |
|
24 |
24 |
$22K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
462 |
460 |
$18K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
432 |
332 |
$10K |
| 58660 |
|
25 |
24 |
$9K |
| 81025 |
|
986 |
963 |
$7K |
| 76801 |
|
97 |
92 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
592 |
592 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
45 |
$4K |
| 99406 |
|
399 |
397 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$3K |
| 57455 |
|
24 |
24 |
$2K |
| 99221 |
|
28 |
22 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
86 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$934.05 |
| 82270 |
|
31 |
31 |
$106.24 |
| 96127 |
|
32 |
32 |
$95.79 |
| 0502F |
|
62 |
36 |
$0.00 |