| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
201 |
185 |
$244K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,091 |
1,813 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,998 |
2,530 |
$106K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,384 |
1,216 |
$97K |
| 76830 |
Ultrasound, transvaginal |
843 |
741 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
719 |
610 |
$36K |
| 99215 |
Prolong outpt/office vis |
227 |
187 |
$19K |
| 87210 |
|
5,955 |
4,940 |
$18K |
| 99205 |
Prolong outpt/office vis |
166 |
128 |
$18K |
| 81001 |
|
7,920 |
5,520 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
298 |
258 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
224 |
188 |
$14K |
| 0500F |
|
721 |
538 |
$13K |
| 0503F |
|
989 |
823 |
$12K |
| 76801 |
|
217 |
173 |
$12K |
| 81025 |
|
1,085 |
900 |
$5K |
| 59430 |
|
70 |
54 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
70 |
69 |
$4K |
| 96160 |
|
380 |
283 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
239 |
214 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
59 |
47 |
$2K |
| 81000 |
|
607 |
511 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
39 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
19 |
12 |
$651.31 |
| 0501F |
|
699 |
493 |
$0.00 |
| 0502F |
|
14,015 |
8,912 |
$0.00 |