| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
760 |
695 |
$1.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,397 |
14,536 |
$525K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,157 |
6,189 |
$490K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,639 |
2,540 |
$267K |
| 76830 |
Ultrasound, transvaginal |
2,532 |
2,432 |
$229K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,958 |
1,893 |
$209K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,443 |
2,339 |
$209K |
| 76801 |
|
1,857 |
1,737 |
$172K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,060 |
1,040 |
$95K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,128 |
1,090 |
$95K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,203 |
1,158 |
$81K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,013 |
561 |
$69K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
996 |
876 |
$69K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,420 |
1,342 |
$39K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
490 |
468 |
$34K |
| 99215 |
Prolong outpt/office vis |
289 |
259 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
282 |
281 |
$20K |
| 99459 |
|
925 |
897 |
$19K |
| 81025 |
|
2,597 |
2,492 |
$18K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
850 |
763 |
$14K |
| 99385 |
|
144 |
140 |
$13K |
| 59430 |
|
87 |
83 |
$11K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
12 |
12 |
$9K |
| 59025 |
Fetal non-stress test |
211 |
125 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
269 |
259 |
$9K |
| 99205 |
Prolong outpt/office vis |
78 |
70 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
651 |
633 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
70 |
68 |
$7K |
| 81002 |
|
3,093 |
2,259 |
$7K |
| 59425 |
|
12 |
12 |
$6K |
| 58300 |
|
49 |
49 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
38 |
26 |
$3K |
| 76813 |
|
27 |
24 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| 99441 |
|
13 |
13 |
$609.89 |
| 99401 |
|
12 |
12 |
$375.99 |
| 0502F |
|
115 |
80 |
$0.10 |
| 0500F |
|
316 |
278 |
$0.01 |
| 0503F |
|
144 |
127 |
$0.00 |