| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
484 |
460 |
$844K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,087 |
1,667 |
$264K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,414 |
2,207 |
$201K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
967 |
961 |
$99K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
800 |
772 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,969 |
5,175 |
$46K |
| 76813 |
|
477 |
470 |
$41K |
| 76801 |
|
467 |
460 |
$41K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
588 |
535 |
$35K |
| 76830 |
Ultrasound, transvaginal |
407 |
391 |
$33K |
| 59510 |
|
15 |
13 |
$31K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
294 |
225 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
499 |
454 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
443 |
432 |
$10K |
| 90715 |
|
313 |
311 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
443 |
402 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
158 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
58 |
58 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24 |
24 |
$3K |
| 90686 |
|
146 |
145 |
$3K |
| 76998 |
|
26 |
26 |
$1K |
| 76857 |
|
17 |
17 |
$662.48 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
45 |
$498.65 |
| 81025 |
|
61 |
61 |
$440.61 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
197 |
184 |
$383.21 |