| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,060 |
2,390 |
$156K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
129 |
64 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,825 |
1,526 |
$63K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
541 |
339 |
$25K |
| H1000 |
Prenatal care, at-risk assessment |
198 |
104 |
$13K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
213 |
132 |
$9K |
| G9357 |
Post-partum screenings, evaluations and education performed |
146 |
81 |
$9K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
197 |
26 |
$7K |
| 76801 |
|
145 |
91 |
$5K |
| 87481 |
|
91 |
27 |
$4K |
| 99205 |
Prolong outpt/office vis |
19 |
16 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
70 |
59 |
$1K |
| 87640 |
|
31 |
26 |
$620.00 |
| 87653 |
|
30 |
27 |
$598.00 |
| 81025 |
|
59 |
54 |
$152.20 |
| 3078F |
|
1,093 |
913 |
$0.00 |
| 99000 |
|
520 |
423 |
$0.00 |
| 3074F |
|
1,137 |
943 |
$0.00 |
| 3079F |
|
15 |
12 |
$0.00 |