| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
4,238 |
2,287 |
$243K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
390 |
389 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,520 |
2,774 |
$137K |
| Z1034 |
|
2,143 |
1,247 |
$115K |
| 59025 |
Fetal non-stress test |
3,274 |
1,222 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,753 |
1,555 |
$45K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
575 |
562 |
$44K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
889 |
832 |
$41K |
| 99223 |
Prolong inpt eval add15 m |
456 |
374 |
$28K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
528 |
349 |
$24K |
| 59514 |
|
55 |
55 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
274 |
274 |
$19K |
| 99215 |
Prolong outpt/office vis |
198 |
193 |
$18K |
| 76801 |
|
258 |
226 |
$17K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
221 |
122 |
$17K |
| Z1032 |
|
115 |
115 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
220 |
214 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
359 |
178 |
$13K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
13 |
$11K |
| 59430 |
|
193 |
180 |
$10K |
| 76830 |
Ultrasound, transvaginal |
119 |
110 |
$8K |
| 76813 |
|
63 |
61 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
139 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
133 |
70 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
58 |
53 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$2K |
| 99235 |
|
13 |
12 |
$1K |
| 99000 |
|
359 |
350 |
$1K |
| 81025 |
|
45 |
44 |
$115.17 |
| 0502F |
|
365 |
237 |
$101.22 |