| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
184 |
181 |
$284K |
| 59514 |
|
96 |
95 |
$52K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
642 |
633 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
502 |
477 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
315 |
230 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
208 |
200 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
182 |
174 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
55 |
$4K |
| 59025 |
Fetal non-stress test |
102 |
39 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
253 |
244 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
422 |
385 |
$1K |
| 81025 |
|
151 |
148 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$125.24 |
| 90630 |
|
12 |
12 |
$0.00 |