| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
548 |
450 |
$731K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,513 |
4,126 |
$243K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,344 |
2,253 |
$209K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,296 |
2,139 |
$144K |
| 76830 |
Ultrasound, transvaginal |
1,776 |
1,688 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,070 |
2,693 |
$115K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,591 |
1,522 |
$104K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,105 |
1,054 |
$98K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,191 |
1,125 |
$96K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,384 |
707 |
$79K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,151 |
1,000 |
$51K |
| 59025 |
Fetal non-stress test |
1,675 |
1,383 |
$35K |
| 90715 |
|
708 |
688 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,728 |
1,628 |
$25K |
| 59510 |
|
13 |
12 |
$17K |
| 59426 |
|
28 |
28 |
$16K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
252 |
205 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,179 |
1,114 |
$11K |
| 81025 |
|
2,493 |
2,293 |
$11K |
| 59425 |
|
34 |
33 |
$10K |
| 0503F |
|
183 |
178 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
134 |
$4K |
| 0500F |
|
735 |
702 |
$3K |
| 90658 |
|
162 |
154 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
70 |
$2K |
| 90686 |
|
86 |
83 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 59430 |
|
91 |
89 |
$966.12 |
| 0502F |
|
13,384 |
8,318 |
$0.00 |
| 0501F |
|
708 |
679 |
$0.00 |