| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
871 |
790 |
$1.25M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,663 |
3,444 |
$380K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,626 |
10,830 |
$288K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
854 |
836 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
873 |
834 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
716 |
674 |
$50K |
| 76801 |
|
435 |
388 |
$38K |
| 59510 |
|
13 |
13 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,103 |
839 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
206 |
200 |
$16K |
| 59025 |
Fetal non-stress test |
429 |
286 |
$13K |
| 81025 |
|
1,737 |
1,531 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
92 |
72 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
310 |
300 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
116 |
110 |
$7K |
| 59426 |
|
102 |
93 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
58 |
$2K |
| 99385 |
|
13 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
183 |
161 |
$720.29 |
| 81002 |
|
147 |
138 |
$370.78 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
39 |
35 |
$47.44 |
| 0500F |
|
49 |
47 |
$0.00 |