| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
243 |
235 |
$440K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,182 |
2,014 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,018 |
4,625 |
$131K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
925 |
909 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,112 |
1,043 |
$87K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,199 |
553 |
$85K |
| 76801 |
|
682 |
666 |
$68K |
| 59514 |
|
318 |
315 |
$61K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
466 |
453 |
$39K |
| 76820 |
|
907 |
441 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
269 |
267 |
$24K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
24 |
$22K |
| 81002 |
|
3,019 |
2,046 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
63 |
$7K |
| 99215 |
Prolong outpt/office vis |
38 |
37 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
92 |
90 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
51 |
$997.19 |
| 81025 |
|
141 |
134 |
$975.04 |
| 87110 |
|
48 |
44 |
$0.00 |