| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
175 |
165 |
$325K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,458 |
2,162 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,242 |
1,073 |
$90K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,534 |
1,362 |
$83K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
818 |
758 |
$79K |
| 59025 |
Fetal non-stress test |
2,467 |
1,370 |
$74K |
| 76801 |
|
666 |
566 |
$41K |
| 59426 |
|
47 |
47 |
$39K |
| 59510 |
|
12 |
12 |
$28K |
| 76830 |
Ultrasound, transvaginal |
333 |
316 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
970 |
867 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
243 |
212 |
$22K |
| 81003 |
|
10,075 |
6,633 |
$21K |
| 81002 |
|
7,093 |
4,476 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
569 |
519 |
$18K |
| 99201 |
|
350 |
319 |
$12K |
| 80305 |
|
1,251 |
1,117 |
$11K |
| 76818 |
|
115 |
79 |
$9K |
| 59425 |
|
17 |
17 |
$8K |
| 86703 |
|
552 |
485 |
$6K |
| 81025 |
|
707 |
630 |
$5K |
| 90674 |
|
156 |
147 |
$3K |
| 87205 |
|
1,198 |
1,065 |
$3K |
| 54150 |
|
27 |
27 |
$3K |
| 87210 |
|
547 |
506 |
$2K |
| 87806 |
|
109 |
109 |
$2K |
| 90686 |
|
31 |
31 |
$650.37 |
| 90656 |
|
12 |
12 |
$177.61 |
| 36415 |
Collection of venous blood by venipuncture |
488 |
427 |
$92.70 |