| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
34 |
28 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
442 |
384 |
$19K |
| 59426 |
|
25 |
19 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376 |
331 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
147 |
116 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
110 |
80 |
$3K |
| 59425 |
|
18 |
15 |
$3K |
| G9357 |
Post-partum screenings, evaluations and education performed |
14 |
13 |
$1K |
| 90715 |
|
34 |
25 |
$843.83 |
| 87210 |
|
86 |
82 |
$370.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
58 |
$270.00 |
| 81002 |
|
64 |
53 |
$134.61 |
| 81025 |
|
16 |
12 |
$29.60 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
13 |
$22.00 |