| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,034 |
994 |
$1.69M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
9,785 |
3,981 |
$676K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,971 |
19,320 |
$606K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,494 |
5,996 |
$589K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,647 |
3,444 |
$307K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,701 |
2,662 |
$305K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,300 |
3,275 |
$290K |
| 76830 |
Ultrasound, transvaginal |
2,135 |
2,004 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,238 |
3,056 |
$189K |
| 59510 |
|
105 |
100 |
$186K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,555 |
2,483 |
$171K |
| 59514 |
|
920 |
896 |
$156K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,370 |
2,153 |
$154K |
| 76801 |
|
1,582 |
1,563 |
$154K |
| 76813 |
|
1,596 |
1,581 |
$152K |
| 59426 |
|
144 |
140 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,421 |
1,391 |
$75K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
960 |
810 |
$73K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,468 |
4,220 |
$63K |
| 59425 |
|
64 |
64 |
$36K |
| 90715 |
|
1,084 |
1,052 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,457 |
1,417 |
$31K |
| 81025 |
|
4,853 |
4,623 |
$30K |
| 76820 |
|
625 |
389 |
$25K |
| 99385 |
|
195 |
195 |
$21K |
| 76857 |
|
557 |
532 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
155 |
155 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
315 |
304 |
$12K |
| 90686 |
|
596 |
564 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
89 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
61 |
61 |
$8K |
| 99441 |
|
139 |
136 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
426 |
399 |
$4K |
| 76998 |
|
51 |
51 |
$3K |
| 59430 |
|
13 |
13 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
174 |
169 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
840 |
807 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$252.71 |
| 90749 |
|
19 |
19 |
$96.00 |