| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
86 |
63 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,474 |
1,209 |
$77K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,774 |
1,501 |
$64K |
| 99215 |
Prolong outpt/office vis |
730 |
610 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,501 |
1,199 |
$48K |
| 59025 |
Fetal non-stress test |
2,222 |
1,467 |
$48K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
520 |
475 |
$26K |
| 99234 |
|
276 |
232 |
$25K |
| G9357 |
Post-partum screenings, evaluations and education performed |
233 |
196 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
759 |
670 |
$18K |
| 81002 |
|
7,655 |
5,182 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
56 |
44 |
$8K |
| 99401 |
|
262 |
181 |
$4K |
| 54150 |
|
47 |
30 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
52 |
40 |
$4K |
| 80305 |
|
440 |
392 |
$4K |
| H0049 |
Alcohol and/or drug screening |
189 |
168 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
262 |
203 |
$2K |
| 99459 |
|
267 |
220 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
32 |
27 |
$2K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
32 |
24 |
$1K |
| 59426 |
|
105 |
90 |
$982.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16 |
12 |
$682.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
13 |
$658.00 |
| 90715 |
|
17 |
13 |
$427.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
95 |
$410.00 |
| 59425 |
|
14 |
12 |
$281.00 |
| 90658 |
|
28 |
27 |
$280.80 |
| 85018 |
|
274 |
254 |
$213.00 |
| 85014 |
|
61 |
55 |
$162.00 |
| 81025 |
|
19 |
13 |
$39.00 |
| Q0112 |
All potassium hydroxide (koh) preparations |
12 |
12 |
$38.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
25 |
$0.00 |
| 81000 |
|
2,533 |
1,683 |
$0.00 |
| 0500F |
|
13 |
13 |
$0.00 |