| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,264 |
1,225 |
$694K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13,677 |
8,606 |
$594K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,549 |
8,706 |
$474K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
358 |
292 |
$300K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,917 |
2,983 |
$259K |
| 76801 |
|
3,680 |
3,238 |
$215K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,111 |
2,824 |
$210K |
| 99234 |
|
873 |
744 |
$70K |
| 59430 |
|
302 |
298 |
$50K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
506 |
435 |
$26K |
| 81002 |
|
8,841 |
4,760 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
322 |
311 |
$20K |
| 99217 |
|
444 |
391 |
$17K |
| 59514 |
|
26 |
26 |
$17K |
| 99218 |
|
425 |
372 |
$16K |
| 59426 |
|
28 |
24 |
$16K |
| 99221 |
|
228 |
190 |
$16K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
166 |
148 |
$15K |
| 59425 |
|
39 |
36 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
137 |
114 |
$13K |
| 58558 |
|
12 |
12 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
383 |
373 |
$9K |
| 81025 |
|
1,401 |
1,263 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
194 |
146 |
$8K |
| 58662 |
|
13 |
13 |
$5K |
| 59025 |
Fetal non-stress test |
243 |
157 |
$4K |
| 99235 |
|
28 |
26 |
$3K |
| 58670 |
|
13 |
12 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
37 |
$2K |
| 76818 |
|
331 |
130 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
38 |
$578.96 |
| T1015 |
Clinic visit/encounter, all-inclusive |
21 |
13 |
$0.00 |