| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,198 |
7,034 |
$416K |
| 76818 |
|
4,339 |
1,462 |
$311K |
| 76820 |
|
4,669 |
1,590 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,330 |
2,143 |
$144K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
646 |
590 |
$58K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
77 |
74 |
$47K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
541 |
498 |
$43K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
291 |
265 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
234 |
227 |
$19K |
| 81002 |
|
8,447 |
5,801 |
$13K |
| 76801 |
|
163 |
141 |
$10K |
| 81025 |
|
1,418 |
1,315 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,565 |
2,368 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
212 |
190 |
$4K |
| 99205 |
Prolong outpt/office vis |
28 |
24 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
59 |
58 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$1K |
| 59430 |
|
14 |
14 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16 |
14 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
56 |
56 |
$831.37 |
| 59025 |
Fetal non-stress test |
13 |
13 |
$379.51 |