| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,036 |
1,036 |
$2.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,972 |
1,632 |
$149K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,386 |
1,386 |
$126K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,419 |
1,335 |
$115K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,141 |
1,141 |
$109K |
| 76830 |
Ultrasound, transvaginal |
427 |
422 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
773 |
705 |
$28K |
| 59425 |
|
28 |
28 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
121 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
4,255 |
3,936 |
$8K |
| 81002 |
|
2,172 |
2,172 |
$5K |
| 90756 |
|
82 |
82 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
82 |
$2K |
| 81025 |
|
25 |
25 |
$181.97 |