| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
58 |
58 |
$162K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,756 |
1,634 |
$143K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,557 |
1,555 |
$129K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,327 |
1,134 |
$119K |
| 76818 |
|
1,088 |
661 |
$119K |
| 76820 |
|
1,178 |
826 |
$100K |
| 76830 |
Ultrasound, transvaginal |
1,026 |
981 |
$91K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
679 |
678 |
$85K |
| 76801 |
|
453 |
440 |
$56K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
478 |
478 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
739 |
720 |
$29K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
140 |
128 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
482 |
466 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
4,643 |
4,277 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
102 |
87 |
$10K |
| 90674 |
|
255 |
253 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
115 |
115 |
$6K |
| 90715 |
|
86 |
85 |
$4K |
| 81025 |
|
526 |
514 |
$3K |
| 99385 |
|
30 |
30 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
28 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| 99201 |
|
32 |
32 |
$814.72 |
| 90756 |
|
22 |
22 |
$641.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$477.23 |
| 81002 |
|
39 |
39 |
$104.52 |