| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
18,688 |
12,265 |
$1.10M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,610 |
1,599 |
$824K |
| 99215 |
Prolong outpt/office vis |
3,603 |
3,511 |
$363K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,979 |
3,938 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,303 |
6,666 |
$209K |
| Z1034 |
|
3,680 |
2,474 |
$198K |
| 59430 |
|
1,716 |
1,670 |
$106K |
| 99070 |
|
10,927 |
8,426 |
$104K |
| 59514 |
|
198 |
196 |
$103K |
| 0500F |
|
1,083 |
1,081 |
$96K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,160 |
1,159 |
$86K |
| 3351F |
|
1,082 |
1,081 |
$81K |
| Z1032 |
|
570 |
570 |
$71K |
| Z6500 |
|
534 |
534 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,409 |
1,374 |
$59K |
| 88141 |
|
906 |
567 |
$41K |
| 99000 |
|
7,807 |
7,421 |
$25K |
| 81025 |
|
6,851 |
6,667 |
$21K |
| 57454 |
|
408 |
209 |
$21K |
| Z6406 |
|
2,318 |
1,898 |
$18K |
| 81002 |
|
8,148 |
7,791 |
$16K |
| J3490 |
Unclassified drugs |
213 |
208 |
$13K |
| 96127 |
|
2,697 |
2,662 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
633 |
620 |
$12K |
| Z6204 |
|
1,304 |
1,065 |
$10K |
| Z6400 |
|
557 |
554 |
$9K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
135 |
95 |
$8K |
| 87081 |
|
1,051 |
1,030 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
77 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
82 |
82 |
$5K |
| 87110 |
|
133 |
132 |
$2K |
| 87490 |
|
134 |
133 |
$2K |
| Z6304 |
|
266 |
263 |
$2K |
| Z6410 |
|
217 |
185 |
$2K |
| 99205 |
Prolong outpt/office vis |
17 |
17 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
100 |
100 |
$1K |
| 99201 |
|
51 |
51 |
$1K |
| 57511 |
|
22 |
12 |
$667.95 |
| 87084 |
|
24 |
24 |
$228.55 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
17 |
$0.00 |
| A4550 |
Surgical trays |
28 |
27 |
$0.00 |