| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,014 |
3,495 |
$251K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
64 |
64 |
$171K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,025 |
1,926 |
$133K |
| 76818 |
|
2,024 |
1,079 |
$130K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,928 |
1,567 |
$108K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
943 |
936 |
$104K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,414 |
936 |
$73K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,275 |
1,059 |
$54K |
| 59025 |
Fetal non-stress test |
1,505 |
1,420 |
$49K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
791 |
733 |
$36K |
| 76801 |
|
590 |
562 |
$32K |
| 93975 |
|
412 |
401 |
$28K |
| 76813 |
|
372 |
369 |
$25K |
| 76820 |
|
639 |
356 |
$21K |
| 76830 |
Ultrasound, transvaginal |
454 |
442 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
394 |
277 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
435 |
423 |
$8K |
| 76825 |
|
50 |
50 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
80 |
$2K |
| 93976 |
|
32 |
32 |
$1K |
| 76827 |
|
38 |
38 |
$1K |
| 76377 |
|
47 |
43 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$942.85 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
26 |
$75.00 |