| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
516 |
421 |
$605K |
| 59510 |
|
189 |
121 |
$191K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,537 |
1,233 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,344 |
2,468 |
$123K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
985 |
789 |
$56K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,312 |
966 |
$56K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
926 |
729 |
$50K |
| 76801 |
|
648 |
533 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
598 |
456 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
415 |
328 |
$27K |
| 59025 |
Fetal non-stress test |
626 |
329 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
585 |
364 |
$18K |
| 99385 |
|
193 |
158 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
724 |
536 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
316 |
226 |
$13K |
| 76830 |
Ultrasound, transvaginal |
231 |
193 |
$13K |
| 54150 |
|
90 |
67 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
537 |
421 |
$7K |
| 0500F |
|
812 |
662 |
$3K |
| 81025 |
|
883 |
706 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25 |
12 |
$3K |
| 96127 |
|
483 |
391 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
22 |
$1K |
| 87210 |
|
50 |
44 |
$138.75 |
| 0503F |
|
952 |
792 |
$72.63 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
36 |
$53.14 |
| 81002 |
|
16 |
15 |
$36.56 |
| 99000 |
|
15 |
15 |
$0.00 |
| 0502F |
|
4,845 |
3,363 |
$0.00 |
| 99072 |
|
443 |
387 |
$0.00 |