| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
230 |
227 |
$486K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,948 |
3,570 |
$216K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,511 |
1,509 |
$140K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
827 |
824 |
$67K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
363 |
361 |
$35K |
| 59510 |
|
12 |
12 |
$27K |
| 76830 |
Ultrasound, transvaginal |
842 |
838 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
839 |
836 |
$20K |
| 76801 |
|
438 |
422 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
79 |
79 |
$968.85 |
| 59025 |
Fetal non-stress test |
21 |
12 |
$645.12 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$356.04 |