| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
125 |
85 |
$120K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,220 |
1,683 |
$116K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,046 |
938 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,904 |
1,500 |
$62K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
794 |
677 |
$62K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
979 |
689 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,972 |
1,631 |
$48K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
606 |
283 |
$35K |
| 99385 |
|
260 |
230 |
$21K |
| 76830 |
Ultrasound, transvaginal |
310 |
288 |
$18K |
| 59426 |
|
28 |
27 |
$15K |
| 59425 |
|
43 |
37 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
470 |
392 |
$7K |
| 81002 |
|
3,740 |
3,139 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
84 |
$5K |
| 3008F |
|
1,875 |
1,643 |
$4K |
| 81025 |
|
927 |
816 |
$4K |
| 54150 |
|
25 |
24 |
$3K |
| 0502F |
|
7,504 |
4,124 |
$2K |
| 0501F |
|
2,631 |
1,866 |
$2K |
| 0503F |
|
111 |
99 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
17 |
$955.38 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$770.73 |
| 59430 |
|
100 |
88 |
$115.07 |
| 82274 |
|
31 |
25 |
$101.90 |
| 3292F |
|
924 |
633 |
$0.00 |
| 3294F |
|
787 |
532 |
$0.00 |