| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,573 |
1,572 |
$3.44M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17,214 |
10,132 |
$1.45M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17,263 |
14,817 |
$1.42M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13,821 |
9,403 |
$1.34M |
| 76820 |
|
17,802 |
10,291 |
$680K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
6,910 |
6,023 |
$543K |
| 93975 |
|
3,249 |
2,976 |
$539K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,229 |
2,136 |
$342K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,491 |
3,746 |
$329K |
| 76830 |
Ultrasound, transvaginal |
4,413 |
4,032 |
$301K |
| 76813 |
|
2,364 |
2,313 |
$265K |
| 76801 |
|
2,497 |
2,257 |
$263K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,626 |
1,584 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,514 |
1,437 |
$176K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,100 |
2,899 |
$115K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,428 |
1,279 |
$69K |
| 76377 |
|
1,006 |
917 |
$34K |
| 99215 |
Prolong outpt/office vis |
179 |
172 |
$31K |
| 81000 |
|
8,808 |
6,280 |
$30K |
| 76818 |
|
252 |
194 |
$30K |
| 59426 |
|
26 |
26 |
$30K |
| 99205 |
Prolong outpt/office vis |
111 |
111 |
$25K |
| 76821 |
|
294 |
191 |
$24K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
25 |
$21K |
| 99401 |
|
740 |
735 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
171 |
171 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
9,360 |
8,300 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$12K |
| 81002 |
|
4,187 |
3,374 |
$9K |
| 84144 |
|
365 |
341 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
295 |
289 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$4K |
| 96160 |
|
1,272 |
1,268 |
$4K |
| 86777 |
|
309 |
304 |
$3K |
| 86778 |
|
310 |
304 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
757 |
742 |
$3K |
| 99402 |
|
93 |
93 |
$3K |
| 87802 |
|
227 |
226 |
$3K |
| 84439 |
|
366 |
357 |
$2K |
| 86765 |
|
258 |
253 |
$2K |
| 86803 |
|
273 |
268 |
$2K |
| 84480 |
|
306 |
300 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
210 |
205 |
$2K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
1,802 |
1,117 |
$2K |
| 81025 |
|
434 |
431 |
$2K |
| 80053 |
Comprehensive metabolic panel |
209 |
204 |
$2K |
| 80050 |
General health panel |
111 |
111 |
$1K |
| 82950 |
|
348 |
348 |
$1K |
| 84702 |
|
122 |
117 |
$1K |
| 96127 |
|
216 |
216 |
$1K |
| 81001 |
|
388 |
369 |
$880.26 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
46 |
$822.01 |
| 87081 |
|
149 |
148 |
$780.89 |
| 87800 |
|
15 |
14 |
$443.08 |
| 59025 |
Fetal non-stress test |
35 |
28 |
$315.52 |
| 87210 |
|
67 |
67 |
$303.78 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$159.27 |
| 87150 |
|
143 |
142 |
$123.81 |
| 84481 |
|
12 |
12 |
$101.10 |
| 0502F |
|
671 |
519 |
$0.00 |
| 99072 |
|
64 |
51 |
$0.00 |
| 99024 |
|
734 |
731 |
$0.00 |
| 88174 |
|
12 |
12 |
$0.00 |
| 99000 |
|
48 |
48 |
$0.00 |
| 81514 |
|
12 |
12 |
$0.00 |