| Code | Description | Claims | Beneficiaries | Total Paid |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
442 |
395 |
$703K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,622 |
5,724 |
$500K |
| 59510 |
|
134 |
113 |
$231K |
| 76827 |
|
2,565 |
1,738 |
$139K |
| 99242 |
|
3,411 |
2,996 |
$138K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
859 |
661 |
$92K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,260 |
1,041 |
$86K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,197 |
1,958 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,540 |
1,265 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
248 |
183 |
$21K |
| 99070 |
|
827 |
750 |
$20K |
| 59426 |
|
17 |
17 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
88 |
83 |
$2K |
| 99201 |
|
65 |
62 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
13 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
62 |
44 |
$2K |
| 76801 |
|
12 |
12 |
$1K |