| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
134 |
118 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,379 |
1,831 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,126 |
926 |
$69K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
351 |
303 |
$50K |
| 81025 |
|
7,988 |
5,871 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,209 |
1,027 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
328 |
300 |
$29K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
351 |
317 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,232 |
1,030 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
98 |
$11K |
| H1000 |
Prenatal care, at-risk assessment |
104 |
81 |
$6K |
| 87210 |
|
1,285 |
1,172 |
$5K |
| 81002 |
|
2,487 |
1,967 |
$5K |
| 76830 |
Ultrasound, transvaginal |
62 |
56 |
$4K |
| 54150 |
|
30 |
26 |
$3K |
| G9357 |
Post-partum screenings, evaluations and education performed |
36 |
27 |
$2K |
| 76801 |
|
42 |
29 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
12 |
$1K |
| 99385 |
|
16 |
13 |
$743.15 |
| 99000 |
|
1,495 |
1,362 |
$480.80 |
| 0503F |
|
15 |
13 |
$250.02 |
| 85014 |
|
60 |
56 |
$0.00 |
| 0502F |
|
1,832 |
1,367 |
$0.00 |
| 81000 |
|
767 |
475 |
$0.00 |
| 85018 |
|
60 |
56 |
$0.00 |