| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
110 |
110 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,851 |
4,786 |
$146K |
| 88141 |
|
1,613 |
979 |
$80K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
416 |
406 |
$66K |
| 99215 |
Prolong outpt/office vis |
422 |
418 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
656 |
650 |
$39K |
| 58662 |
|
88 |
88 |
$21K |
| 58740 |
|
29 |
29 |
$20K |
| 59510 |
|
13 |
13 |
$18K |
| 76801 |
|
225 |
215 |
$17K |
| 58558 |
|
158 |
158 |
$15K |
| 0500F |
|
119 |
119 |
$11K |
| 59430 |
|
138 |
138 |
$10K |
| 59425 |
|
167 |
126 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
120 |
120 |
$9K |
| 3351F |
|
59 |
59 |
$4K |