| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
43 |
43 |
$93K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
145 |
141 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
181 |
173 |
$12K |
| 85018 |
|
3,324 |
3,165 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,881 |
1,779 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$3K |
| 80081 |
|
32 |
29 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 59025 |
Fetal non-stress test |
29 |
25 |
$775.20 |
| 88142 |
|
26 |
26 |
$267.26 |
| 81003 |
|
14 |
14 |
$40.43 |
| 0502F |
|
1,088 |
1,015 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
203 |
192 |
$0.00 |
| 1036F |
|
1,450 |
1,363 |
$0.00 |
| 99024 |
|
37 |
28 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
749 |
699 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
58 |
55 |
$0.00 |