| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
309 |
309 |
$252K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,409 |
3,132 |
$162K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
210 |
206 |
$159K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
874 |
874 |
$71K |
| 59025 |
Fetal non-stress test |
1,798 |
667 |
$49K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
468 |
461 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
608 |
591 |
$39K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
585 |
558 |
$38K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
613 |
555 |
$33K |
| 59430 |
|
175 |
174 |
$31K |
| 76830 |
Ultrasound, transvaginal |
265 |
261 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
158 |
156 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
214 |
196 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
79 |
79 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
103 |
99 |
$7K |
| 54150 |
|
96 |
95 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
298 |
253 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
63 |
$2K |
| 99459 |
|
14 |
14 |
$202.72 |
| 0500F |
|
41 |
40 |
$0.00 |
| 0503F |
|
106 |
106 |
$0.00 |