| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
494 |
311 |
$509K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,748 |
2,170 |
$77K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,259 |
916 |
$64K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,040 |
798 |
$33K |
| G9357 |
Post-partum screenings, evaluations and education performed |
412 |
249 |
$20K |
| 81025 |
|
6,581 |
5,031 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
751 |
531 |
$10K |
| 81002 |
|
6,392 |
4,855 |
$9K |
| 76801 |
|
169 |
119 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
172 |
106 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,815 |
3,108 |
$5K |
| 76830 |
Ultrasound, transvaginal |
107 |
88 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110 |
88 |
$3K |
| 90715 |
|
88 |
82 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
56 |
36 |
$2K |
| 90686 |
|
104 |
97 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
29 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
252 |
232 |
$985.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17 |
12 |
$434.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
26 |
$410.00 |
| 85018 |
|
369 |
235 |
$394.64 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
300 |
248 |
$371.60 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
17 |
13 |
$158.40 |
| 1159F |
|
602 |
506 |
$0.00 |
| 3078F |
|
368 |
311 |
$0.00 |
| 3015F |
|
53 |
48 |
$0.00 |
| 3008F |
|
563 |
478 |
$0.00 |
| 3074F |
|
428 |
360 |
$0.00 |
| 1000F |
|
269 |
230 |
$0.00 |
| 1036F |
|
168 |
148 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 3079F |
|
43 |
37 |
$0.00 |