| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,591 |
1,500 |
$88K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
41 |
38 |
$49K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
323 |
301 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
575 |
515 |
$22K |
| G9357 |
Post-partum screenings, evaluations and education performed |
152 |
135 |
$16K |
| 81025 |
|
5,413 |
4,946 |
$14K |
| 81002 |
|
10,496 |
7,650 |
$13K |
| H1000 |
Prenatal care, at-risk assessment |
81 |
80 |
$10K |
| 85018 |
|
4,286 |
3,793 |
$8K |
| 76801 |
|
164 |
152 |
$8K |
| 76830 |
Ultrasound, transvaginal |
98 |
89 |
$6K |
| 36416 |
|
2,797 |
2,658 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
382 |
296 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
103 |
$3K |
| 99459 |
|
191 |
172 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
608 |
548 |
$974.00 |
| 90673 |
|
17 |
16 |
$568.54 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$522.20 |
| 90674 |
|
21 |
20 |
$481.00 |
| 90715 |
|
12 |
12 |
$394.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
34 |
$180.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
60 |
53 |
$85.90 |
| 59426 |
|
44 |
40 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
118 |
104 |
$0.00 |