| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
373 |
267 |
$372K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
976 |
788 |
$74K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,665 |
1,109 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,039 |
845 |
$39K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
492 |
419 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
339 |
$22K |
| 59510 |
|
12 |
12 |
$18K |
| 76801 |
|
231 |
153 |
$11K |
| 59025 |
Fetal non-stress test |
344 |
259 |
$8K |
| 59430 |
|
261 |
231 |
$7K |
| 76830 |
Ultrasound, transvaginal |
119 |
103 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
180 |
152 |
$2K |
| 0500F |
|
489 |
410 |
$2K |
| 0503F |
|
496 |
381 |
$962.21 |
| 99218 |
|
16 |
16 |
$899.93 |
| 1159F |
|
530 |
466 |
$860.00 |
| 1160F |
|
515 |
453 |
$840.00 |
| 3008F |
|
518 |
455 |
$770.03 |
| 0502F |
|
159 |
130 |
$428.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21 |
14 |
$85.25 |