| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,474 |
2,071 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,800 |
3,159 |
$63K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
666 |
473 |
$47K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
957 |
894 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,200 |
993 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
636 |
548 |
$14K |
| H1000 |
Prenatal care, at-risk assessment |
155 |
126 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
101 |
$12K |
| 81003 |
|
5,758 |
4,755 |
$9K |
| G9357 |
Post-partum screenings, evaluations and education performed |
85 |
62 |
$5K |
| 82962 |
|
727 |
670 |
$521.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
50 |
$311.87 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,116 |
2,579 |
$88.92 |
| 36415 |
Collection of venous blood by venipuncture |
551 |
477 |
$13.80 |
| 81002 |
|
21 |
14 |
$3.00 |
| 83026 |
|
314 |
297 |
$0.00 |
| 59510 |
|
241 |
151 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
374 |
346 |
$0.00 |
| 59025 |
Fetal non-stress test |
73 |
38 |
$0.00 |
| 85014 |
|
337 |
314 |
$0.00 |
| 99080 |
|
15 |
14 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
25 |
14 |
$0.00 |
| 59514 |
|
158 |
139 |
$0.00 |
| 88150 |
|
211 |
202 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
68 |
65 |
$0.00 |