| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
488 |
485 |
$920K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,352 |
2,151 |
$94K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,409 |
1,329 |
$87K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
763 |
753 |
$77K |
| 59426 |
|
71 |
71 |
$55K |
| 76801 |
|
696 |
659 |
$46K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
344 |
341 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
359 |
$23K |
| 59510 |
|
12 |
12 |
$22K |
| 59425 |
|
30 |
30 |
$14K |
| 90674 |
|
483 |
474 |
$12K |
| 90715 |
|
383 |
376 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,149 |
1,099 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
174 |
155 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,710 |
3,431 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
113 |
106 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
81 |
$2K |
| 81025 |
|
293 |
282 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
130 |
119 |
$1K |
| 0011A |
|
19 |
19 |
$720.00 |
| 0012A |
|
21 |
20 |
$680.00 |
| 90630 |
|
52 |
51 |
$605.52 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
15 |
$532.54 |
| 90686 |
|
29 |
29 |
$459.46 |
| 91301 |
|
48 |
44 |
$0.00 |