| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
3,710 |
3,667 |
$2.75M |
| 59514 |
|
1,370 |
1,367 |
$1.15M |
| 59426 |
|
1,456 |
1,439 |
$982K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,673 |
9,966 |
$383K |
| 59425 |
|
1,019 |
1,013 |
$376K |
| 59025 |
Fetal non-stress test |
21,707 |
11,857 |
$373K |
| 59430 |
|
1,593 |
1,586 |
$250K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,427 |
4,408 |
$241K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,930 |
6,977 |
$213K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,176 |
3,151 |
$194K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
6,775 |
4,076 |
$156K |
| 99221 |
|
2,086 |
2,049 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,866 |
1,726 |
$97K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,669 |
3,885 |
$90K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,719 |
1,711 |
$88K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,410 |
2,847 |
$77K |
| 90715 |
|
2,060 |
2,050 |
$64K |
| 76801 |
|
1,885 |
1,859 |
$61K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,329 |
1,699 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,147 |
1,136 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,931 |
2,674 |
$54K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
66 |
66 |
$54K |
| 76820 |
|
3,295 |
1,629 |
$52K |
| 54150 |
|
836 |
834 |
$48K |
| 76821 |
|
2,142 |
1,103 |
$48K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,146 |
1,138 |
$46K |
| 90384 |
|
357 |
343 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,021 |
1,019 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,518 |
3,068 |
$31K |
| 76818 |
|
933 |
542 |
$29K |
| 99215 |
Prolong outpt/office vis |
311 |
294 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,853 |
2,808 |
$26K |
| 81025 |
|
3,554 |
3,509 |
$24K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
271 |
267 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
465 |
235 |
$18K |
| 76825 |
|
314 |
310 |
$15K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
12 |
12 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
342 |
339 |
$9K |
| 90686 |
|
512 |
510 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
166 |
79 |
$9K |
| 76813 |
|
206 |
204 |
$8K |
| 99242 |
|
171 |
168 |
$7K |
| 99253 |
|
99 |
91 |
$6K |
| 76827 |
|
315 |
311 |
$5K |
| 58300 |
|
144 |
143 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
58 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
57 |
53 |
$4K |
| 90678 |
|
12 |
12 |
$3K |
| 81002 |
|
1,172 |
1,151 |
$3K |
| 11981 |
|
54 |
54 |
$3K |
| 99243 |
|
38 |
38 |
$2K |
| 99251 |
|
78 |
77 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
269 |
244 |
$2K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
39 |
37 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99218 |
|
19 |
19 |
$1K |
| 82962 |
|
365 |
239 |
$773.86 |
| 93325 |
|
339 |
318 |
$589.40 |
| 99241 |
|
27 |
27 |
$497.34 |
| 36415 |
Collection of venous blood by venipuncture |
196 |
185 |
$482.42 |
| 90656 |
|
18 |
18 |
$224.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
29 |
$224.00 |
| 1036F |
|
1,331 |
1,309 |
$0.00 |
| 3079F |
|
1,257 |
1,234 |
$0.00 |
| 1111F |
|
2,221 |
2,142 |
$0.00 |
| 4037F |
|
68 |
68 |
$0.00 |
| 3044F |
|
1,449 |
1,396 |
$0.00 |
| 3074F |
|
3,147 |
3,060 |
$0.00 |
| 1000F |
|
1,878 |
1,847 |
$0.00 |
| 3075F |
|
213 |
212 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
114 |
114 |
$0.00 |
| 1034F |
|
216 |
213 |
$0.00 |
| 3080F |
|
25 |
25 |
$0.00 |
| 0501F |
|
59 |
57 |
$0.00 |
| 3015F |
|
1,369 |
1,336 |
$0.00 |
| 0502F |
|
4,032 |
2,373 |
$0.00 |
| 1159F |
|
2,184 |
2,107 |
$0.00 |
| 1160F |
|
2,191 |
2,114 |
$0.00 |
| 4025F |
|
226 |
214 |
$0.00 |
| 4040F |
|
424 |
420 |
$0.00 |
| 3078F |
|
2,407 |
2,354 |
$0.00 |
| 3077F |
|
37 |
36 |
$0.00 |
| 3725F |
|
129 |
129 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
95 |
93 |
$0.00 |