| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,522 |
28,564 |
$2.84M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
3,151 |
3,091 |
$2.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,264 |
5,231 |
$670K |
| 59514 |
|
259 |
251 |
$251K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,006 |
1,815 |
$203K |
| 59430 |
|
1,467 |
1,245 |
$161K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,312 |
1,269 |
$151K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
14,315 |
11,440 |
$135K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,443 |
1,299 |
$123K |
| 96127 |
|
16,175 |
12,362 |
$70K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
667 |
645 |
$56K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
744 |
605 |
$50K |
| 76830 |
Ultrasound, transvaginal |
423 |
408 |
$40K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
250 |
227 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
343 |
321 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
280 |
212 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
246 |
231 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
288 |
264 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
144 |
86 |
$11K |
| 81002 |
|
4,225 |
3,878 |
$10K |
| 90715 |
|
261 |
247 |
$8K |
| 59025 |
Fetal non-stress test |
284 |
258 |
$8K |
| H1000 |
Prenatal care, at-risk assessment |
221 |
193 |
$8K |
| 99218 |
|
70 |
66 |
$7K |
| 99459 |
|
245 |
234 |
$5K |
| 81025 |
|
804 |
748 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
68 |
59 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
182 |
159 |
$3K |
| 90686 |
|
135 |
121 |
$2K |
| 76818 |
|
22 |
18 |
$2K |
| 99219 |
|
15 |
15 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$1K |
| 76813 |
|
16 |
14 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
14 |
$1K |
| 0503F |
|
46 |
45 |
$677.50 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
78 |
$176.49 |
| 96160 |
|
144 |
86 |
$155.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$116.40 |