| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
746 |
742 |
$283K |
| 59425 |
|
2,051 |
1,281 |
$124K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,310 |
2,740 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,303 |
1,249 |
$42K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,028 |
1,024 |
$24K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
378 |
211 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
272 |
264 |
$18K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
233 |
233 |
$15K |
| 59025 |
Fetal non-stress test |
2,185 |
1,723 |
$15K |
| 76830 |
Ultrasound, transvaginal |
227 |
227 |
$15K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
85 |
84 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
490 |
470 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
120 |
112 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
132 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
268 |
261 |
$5K |
| 99215 |
Prolong outpt/office vis |
40 |
40 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
44 |
44 |
$4K |
| 81025 |
|
736 |
712 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 76801 |
|
14 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$506.77 |
| 99234 |
|
12 |
12 |
$372.75 |