| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
502 |
491 |
$932K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,369 |
8,826 |
$506K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,435 |
1,411 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,524 |
1,464 |
$130K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,347 |
1,292 |
$125K |
| 76830 |
Ultrasound, transvaginal |
1,128 |
1,102 |
$94K |
| 76801 |
|
1,147 |
1,093 |
$91K |
| 81025 |
|
7,943 |
7,509 |
$61K |
| 59510 |
|
24 |
24 |
$55K |
| 81002 |
|
16,076 |
15,033 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,010 |
950 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
236 |
224 |
$32K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
349 |
337 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
415 |
392 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
314 |
300 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
898 |
857 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
128 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
591 |
545 |
$10K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
1,476 |
1,343 |
$9K |
| 87210 |
|
1,739 |
1,426 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
69 |
66 |
$7K |
| 96127 |
|
1,273 |
1,180 |
$5K |
| 99385 |
|
37 |
32 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
40 |
36 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
28 |
$2K |
| 99459 |
|
97 |
94 |
$2K |
| 54150 |
|
15 |
13 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
28 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$561.89 |
| 82120 |
|
14 |
14 |
$42.52 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
17 |
$0.00 |