| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
427 |
356 |
$561K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,239 |
2,507 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,507 |
2,126 |
$89K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,038 |
940 |
$71K |
| 59025 |
Fetal non-stress test |
2,252 |
1,369 |
$49K |
| H1000 |
Prenatal care, at-risk assessment |
214 |
166 |
$19K |
| 76801 |
|
347 |
287 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
259 |
229 |
$16K |
| G9357 |
Post-partum screenings, evaluations and education performed |
126 |
96 |
$9K |
| 81002 |
|
3,602 |
3,206 |
$8K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
540 |
511 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
100 |
$7K |
| 85018 |
|
2,300 |
2,071 |
$5K |
| 76830 |
Ultrasound, transvaginal |
81 |
78 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
201 |
179 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,660 |
1,541 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
100 |
$500.00 |
| 90756 |
|
18 |
18 |
$387.43 |
| 81025 |
|
131 |
120 |
$351.00 |
| 90658 |
|
31 |
31 |
$324.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$240.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
30 |
27 |
$0.00 |