| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
994 |
893 |
$1.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,365 |
1,941 |
$84K |
| 59025 |
Fetal non-stress test |
3,673 |
2,134 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
892 |
747 |
$50K |
| 90715 |
|
1,227 |
1,158 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,796 |
1,680 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
245 |
131 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
66 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
615 |
382 |
$5K |
| 90686 |
|
239 |
230 |
$4K |
| W0037 |
|
666 |
666 |
$2K |
| 90678 |
|
25 |
19 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
25 |
$2K |
| 58300 |
|
16 |
13 |
$2K |
| 81025 |
|
222 |
194 |
$2K |
| 0500F |
|
58 |
55 |
$545.92 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
31 |
15 |
$507.52 |
| 90656 |
|
16 |
15 |
$301.70 |