| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
9,985 |
5,512 |
$688K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
636 |
635 |
$377K |
| 99215 |
Prolong outpt/office vis |
1,260 |
1,255 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,530 |
2,498 |
$111K |
| 59430 |
|
1,526 |
1,347 |
$102K |
| 99223 |
Prolong inpt eval add15 m |
1,127 |
859 |
$99K |
| Z1034 |
|
1,640 |
962 |
$92K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
414 |
414 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
787 |
784 |
$60K |
| 88141 |
|
673 |
401 |
$34K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
195 |
190 |
$21K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
982 |
978 |
$12K |
| Z6500 |
|
77 |
77 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
303 |
$9K |
| Z6410 |
|
1,102 |
714 |
$8K |
| Z1032 |
|
65 |
65 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
182 |
182 |
$6K |
| 3074F |
|
57 |
57 |
$4K |
| 90715 |
|
89 |
89 |
$3K |
| J3490 |
Unclassified drugs |
54 |
54 |
$3K |
| 3351F |
|
109 |
109 |
$975.00 |
| Z6400 |
|
77 |
77 |
$770.63 |
| 99000 |
|
112 |
112 |
$462.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
75 |
$381.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 0500F |
|
19 |
19 |
$0.00 |