| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
140 |
133 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,739 |
3,378 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,934 |
1,756 |
$131K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,953 |
1,776 |
$109K |
| 76830 |
Ultrasound, transvaginal |
1,095 |
995 |
$75K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
695 |
666 |
$71K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
723 |
630 |
$47K |
| 76818 |
|
466 |
229 |
$35K |
| 81025 |
|
4,873 |
4,458 |
$33K |
| 76813 |
|
386 |
358 |
$33K |
| 59025 |
Fetal non-stress test |
660 |
424 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
561 |
536 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
58 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
57 |
53 |
$4K |
| 54150 |
|
32 |
30 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
131 |
125 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
42 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
68 |
$2K |
| 99224 |
|
17 |
14 |
$513.47 |
| 81003 |
|
29 |
24 |
$53.94 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
102 |
92 |
$0.23 |
| 87110 |
|
123 |
110 |
$0.00 |
| 3008F |
|
16 |
13 |
$0.00 |
| 87592 |
|
788 |
719 |
$0.00 |