| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,319 |
4,406 |
$161K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
68 |
51 |
$73K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,541 |
543 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,481 |
1,127 |
$56K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
900 |
726 |
$52K |
| 76830 |
Ultrasound, transvaginal |
1,042 |
779 |
$45K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
599 |
518 |
$28K |
| H1000 |
Prenatal care, at-risk assessment |
352 |
252 |
$20K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
696 |
473 |
$20K |
| G9357 |
Post-partum screenings, evaluations and education performed |
306 |
220 |
$19K |
| 81025 |
|
10,206 |
7,296 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
784 |
467 |
$12K |
| 76801 |
|
258 |
217 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
232 |
176 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,194 |
888 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
202 |
110 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
117 |
82 |
$3K |
| 81002 |
|
2,156 |
1,579 |
$2K |
| 59025 |
Fetal non-stress test |
34 |
28 |
$583.00 |
| 87210 |
|
43 |
37 |
$148.08 |
| 81000 |
|
245 |
199 |
$0.00 |
| 85018 |
|
70 |
62 |
$0.00 |
| 0502F |
|
321 |
200 |
$0.00 |
| 59426 |
|
51 |
51 |
$0.00 |