| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59514 |
|
141 |
113 |
$98K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
78 |
66 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,289 |
1,132 |
$43K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
166 |
147 |
$26K |
| 76801 |
|
165 |
144 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
97 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,512 |
2,071 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
72 |
63 |
$5K |
| 90715 |
|
145 |
137 |
$5K |
| 76830 |
Ultrasound, transvaginal |
44 |
42 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
356 |
310 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
19 |
12 |
$993.96 |
| 90686 |
|
40 |
32 |
$850.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$705.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$638.90 |
| 90674 |
|
52 |
32 |
$506.23 |
| 90656 |
|
34 |
33 |
$341.60 |
| 90756 |
|
16 |
16 |
$339.53 |
| 81025 |
|
28 |
24 |
$198.43 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
36 |
$137.92 |