| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
189 |
173 |
$450K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,840 |
10,077 |
$204K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,116 |
2,006 |
$191K |
| 76813 |
|
699 |
690 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
470 |
469 |
$46K |
| 76801 |
|
385 |
374 |
$40K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
580 |
472 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
437 |
423 |
$36K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
387 |
379 |
$34K |
| 76830 |
Ultrasound, transvaginal |
320 |
318 |
$31K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
219 |
108 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
206 |
204 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
75 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
143 |
137 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
92 |
85 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
57 |
56 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
53 |
48 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
144 |
130 |
$2K |
| 76641 |
|
13 |
13 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 59025 |
Fetal non-stress test |
23 |
13 |
$1K |
| 76857 |
|
30 |
30 |
$1K |
| 81025 |
|
122 |
122 |
$892.80 |
| 96161 |
|
113 |
107 |
$262.97 |
| 59430 |
|
103 |
95 |
$44.00 |