| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
265 |
197 |
$247K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,330 |
2,849 |
$129K |
| 76830 |
Ultrasound, transvaginal |
1,411 |
1,194 |
$84K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,508 |
984 |
$58K |
| G9357 |
Post-partum screenings, evaluations and education performed |
442 |
325 |
$36K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
657 |
479 |
$36K |
| H1000 |
Prenatal care, at-risk assessment |
373 |
266 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
314 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
200 |
$14K |
| 81025 |
|
4,330 |
3,756 |
$11K |
| 81002 |
|
4,730 |
3,898 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
438 |
386 |
$9K |
| 85018 |
|
2,819 |
2,486 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,621 |
2,339 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
109 |
55 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
283 |
230 |
$3K |
| 76857 |
|
95 |
68 |
$2K |
| 87210 |
|
103 |
99 |
$459.53 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
23 |
13 |
$414.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
206 |
148 |
$254.00 |