| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
883 |
880 |
$2.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,173 |
1,115 |
$155K |
| 76818 |
|
1,043 |
839 |
$121K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,202 |
984 |
$99K |
| 76801 |
|
797 |
796 |
$96K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
986 |
890 |
$95K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
321 |
321 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
712 |
675 |
$61K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
298 |
235 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
93 |
93 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
136 |
128 |
$12K |
| 76830 |
Ultrasound, transvaginal |
88 |
86 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$5K |
| 81000 |
|
1,363 |
990 |
$5K |
| 96127 |
|
416 |
415 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$1K |
| 90686 |
|
20 |
20 |
$400.60 |
| 59430 |
|
600 |
577 |
$225.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$100.00 |
| 96160 |
|
29 |
29 |
$95.64 |
| 36415 |
Collection of venous blood by venipuncture |
665 |
657 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 99024 |
|
29 |
29 |
$0.00 |