| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
111 |
109 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,750 |
1,639 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
531 |
505 |
$44K |
| 76801 |
|
422 |
368 |
$38K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
291 |
259 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
6,068 |
5,488 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
174 |
125 |
$11K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
41 |
41 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
15 |
$2K |
| 82951 |
|
50 |
50 |
$628.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$520.83 |
| 90715 |
|
13 |
13 |
$362.18 |
| 96127 |
|
74 |
67 |
$272.24 |
| 90686 |
|
14 |
14 |
$239.82 |
| 81003 |
|
12 |
12 |
$29.88 |