| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,655 |
5,990 |
$425K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,454 |
1,532 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,505 |
3,208 |
$213K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,262 |
968 |
$190K |
| 76830 |
Ultrasound, transvaginal |
2,841 |
2,431 |
$178K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,927 |
1,338 |
$119K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,712 |
1,153 |
$109K |
| 76820 |
|
2,614 |
1,146 |
$93K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
930 |
855 |
$69K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,741 |
2,598 |
$63K |
| 81025 |
|
6,139 |
5,485 |
$39K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
349 |
314 |
$22K |
| 83986 |
|
6,545 |
5,906 |
$20K |
| 85013 |
|
3,490 |
3,309 |
$15K |
| 81015 |
|
3,725 |
3,293 |
$10K |
| 81002 |
|
3,434 |
3,256 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
545 |
517 |
$7K |
| 59025 |
Fetal non-stress test |
404 |
119 |
$7K |
| 82274 |
|
374 |
365 |
$5K |
| 76813 |
|
46 |
40 |
$3K |
| 99218 |
|
68 |
55 |
$2K |
| 59430 |
|
40 |
38 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
24 |
16 |
$2K |
| 57454 |
|
13 |
12 |
$2K |
| 99235 |
|
14 |
13 |
$1K |
| 99234 |
|
17 |
12 |
$974.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$750.21 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$151.91 |
| 99080 |
|
2,235 |
1,778 |
$0.00 |