| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
128 |
117 |
$265K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,224 |
5,350 |
$198K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,270 |
1,976 |
$177K |
| 59025 |
Fetal non-stress test |
2,704 |
1,424 |
$91K |
| 99218 |
|
742 |
608 |
$48K |
| 99205 |
Prolong outpt/office vis |
350 |
311 |
$43K |
| 99223 |
Prolong inpt eval add15 m |
293 |
270 |
$41K |
| 99233 |
Prolong inpt eval add15 m |
223 |
144 |
$34K |
| 76801 |
|
283 |
263 |
$25K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
373 |
248 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
238 |
215 |
$17K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
198 |
174 |
$14K |
| 81002 |
|
6,761 |
4,217 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$11K |
| 99000 |
|
3,221 |
2,491 |
$10K |
| 99234 |
|
85 |
66 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
74 |
$8K |
| 59425 |
|
1,080 |
674 |
$7K |
| 81025 |
|
935 |
862 |
$6K |
| 99219 |
|
64 |
52 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,785 |
1,577 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
29 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
54 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
20 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
14 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
18 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
53 |
$921.56 |
| 96127 |
|
114 |
112 |
$477.34 |
| 96160 |
|
248 |
230 |
$293.52 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$207.49 |
| 59430 |
|
75 |
63 |
$180.00 |
| 0502F |
|
229 |
170 |
$0.48 |