| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
138 |
138 |
$229K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,176 |
2,053 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,451 |
2,274 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,757 |
13,893 |
$163K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
862 |
842 |
$87K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
784 |
778 |
$66K |
| 76813 |
|
722 |
705 |
$64K |
| 59025 |
Fetal non-stress test |
1,563 |
1,029 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
425 |
417 |
$44K |
| 76801 |
|
329 |
320 |
$31K |
| 76830 |
Ultrasound, transvaginal |
189 |
188 |
$18K |
| 99221 |
|
122 |
116 |
$6K |
| 59430 |
|
137 |
133 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
100 |
96 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
27 |
$2K |
| 81025 |
|
229 |
213 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
18 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
36 |
$792.95 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20 |
13 |
$246.62 |