| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
115 |
109 |
$218K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,802 |
2,412 |
$188K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,255 |
931 |
$118K |
| 76830 |
Ultrasound, transvaginal |
1,113 |
1,031 |
$113K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,292 |
533 |
$97K |
| 93975 |
|
427 |
419 |
$94K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
904 |
891 |
$84K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
887 |
669 |
$63K |
| 99385 |
|
278 |
273 |
$27K |
| 59510 |
|
13 |
12 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
217 |
215 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
241 |
209 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
356 |
345 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
533 |
515 |
$12K |
| 76813 |
|
106 |
103 |
$10K |
| 81000 |
|
3,121 |
1,644 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
338 |
314 |
$4K |
| 81025 |
|
597 |
580 |
$4K |
| 99386 |
|
27 |
27 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
38 |
$3K |
| 54150 |
|
26 |
26 |
$3K |
| 96127 |
|
412 |
392 |
$2K |
| 88174 |
|
221 |
193 |
$1K |
| 99401 |
|
82 |
78 |
$868.44 |
| 96160 |
|
581 |
552 |
$422.40 |
| 0502F |
|
2,163 |
1,165 |
$123.00 |
| 0503F |
|
141 |
124 |
$15.00 |
| 99024 |
|
208 |
199 |
$10.00 |
| 0500F |
|
72 |
68 |
$7.50 |