| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
366 |
332 |
$587K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,018 |
2,676 |
$243K |
| 76801 |
|
2,661 |
2,276 |
$234K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,712 |
1,527 |
$120K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,117 |
1,048 |
$110K |
| 76830 |
Ultrasound, transvaginal |
1,030 |
1,017 |
$90K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,110 |
1,095 |
$87K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,017 |
1,000 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,336 |
2,213 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,679 |
3,687 |
$60K |
| 76813 |
|
266 |
252 |
$22K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
344 |
174 |
$21K |
| 59425 |
|
30 |
29 |
$9K |
| 81025 |
|
1,186 |
1,149 |
$8K |
| 99385 |
|
68 |
66 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
47 |
44 |
$4K |
| 99000 |
|
2,928 |
2,735 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
76 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$822.56 |
| 58300 |
|
12 |
12 |
$751.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$190.79 |