| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
479 |
467 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,908 |
11,970 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,168 |
3,638 |
$466K |
| 76830 |
Ultrasound, transvaginal |
3,642 |
3,369 |
$410K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,859 |
3,854 |
$375K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,343 |
2,339 |
$249K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
7,389 |
7,198 |
$231K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,815 |
3,705 |
$177K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
188 |
187 |
$143K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,134 |
1,132 |
$114K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
5,048 |
4,960 |
$81K |
| 58300 |
|
431 |
427 |
$40K |
| 54150 |
|
308 |
308 |
$26K |
| 59426 |
|
12 |
12 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
180 |
180 |
$12K |
| 87623 |
|
389 |
389 |
$8K |
| 58301 |
|
66 |
63 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
262 |
253 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
5,971 |
5,538 |
$5K |
| 58100 |
|
51 |
51 |
$5K |
| 81002 |
|
2,757 |
2,661 |
$5K |
| 87110 |
|
417 |
417 |
$5K |
| 88150 |
|
710 |
710 |
$5K |
| 99441 |
|
138 |
134 |
$5K |
| 99385 |
|
40 |
40 |
$5K |
| 11721 |
|
271 |
271 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
24 |
$2K |
| 87802 |
|
213 |
211 |
$2K |
| 87070 |
|
98 |
96 |
$508.78 |
| 99000 |
|
1,556 |
1,427 |
$5.09 |