| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
775 |
694 |
$1.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,234 |
12,020 |
$710K |
| 59510 |
|
190 |
171 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,298 |
3,926 |
$309K |
| 76830 |
Ultrasound, transvaginal |
2,053 |
1,858 |
$199K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,453 |
2,247 |
$164K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,379 |
2,148 |
$163K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,400 |
1,244 |
$125K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,139 |
1,060 |
$115K |
| 76801 |
|
1,055 |
928 |
$91K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
473 |
397 |
$59K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
763 |
706 |
$59K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
799 |
654 |
$52K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
610 |
562 |
$44K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
307 |
193 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
221 |
215 |
$21K |
| 99385 |
|
215 |
209 |
$18K |
| 59025 |
Fetal non-stress test |
507 |
292 |
$15K |
| 76813 |
|
160 |
148 |
$15K |
| 81025 |
|
2,280 |
2,187 |
$15K |
| 76820 |
|
355 |
228 |
$14K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
14 |
14 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
898 |
812 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
190 |
151 |
$10K |
| 58300 |
|
146 |
139 |
$10K |
| 99215 |
Prolong outpt/office vis |
95 |
88 |
$9K |
| 58301 |
|
74 |
71 |
$6K |
| 76818 |
|
44 |
32 |
$4K |
| 0502F |
|
1,459 |
972 |
$4K |
| 99386 |
|
40 |
39 |
$4K |
| 81002 |
|
1,167 |
715 |
$3K |
| 99381 |
|
55 |
38 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
56 |
$2K |
| 57454 |
|
13 |
12 |
$2K |
| 99401 |
|
68 |
66 |
$1K |
| 11981 |
|
15 |
15 |
$1K |
| 54160 |
|
15 |
12 |
$1K |
| 99441 |
|
34 |
34 |
$569.94 |
| 99000 |
|
83 |
73 |
$171.31 |
| 0503F |
|
52 |
50 |
$75.00 |