| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
186 |
156 |
$222K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,452 |
1,018 |
$86K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,809 |
779 |
$61K |
| 59510 |
|
48 |
36 |
$55K |
| 76830 |
Ultrasound, transvaginal |
822 |
695 |
$44K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
541 |
488 |
$37K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
821 |
508 |
$34K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,076 |
823 |
$32K |
| 59426 |
|
49 |
48 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
547 |
476 |
$22K |
| 93976 |
|
249 |
78 |
$21K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
306 |
282 |
$20K |
| 99385 |
|
227 |
200 |
$18K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
322 |
287 |
$9K |
| 81002 |
|
4,470 |
2,289 |
$8K |
| 76820 |
|
267 |
77 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
104 |
78 |
$4K |
| 76821 |
|
95 |
37 |
$3K |
| 81025 |
|
726 |
605 |
$3K |
| 99215 |
Prolong outpt/office vis |
28 |
26 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
33 |
32 |
$1K |
| 76828 |
|
95 |
26 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
12 |
$907.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$199.05 |
| 0502F |
|
64 |
59 |
$0.00 |
| 0503F |
|
20 |
13 |
$0.00 |