| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
814 |
559 |
$54K |
| 59025 |
Fetal non-stress test |
2,468 |
1,354 |
$51K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,032 |
1,677 |
$47K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
643 |
624 |
$7K |
| G9357 |
Post-partum screenings, evaluations and education performed |
60 |
52 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
170 |
138 |
$6K |
| 81002 |
|
9,373 |
6,860 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
53 |
$5K |
| 59510 |
|
205 |
139 |
$3K |
| 90686 |
|
94 |
93 |
$2K |
| 76830 |
Ultrasound, transvaginal |
26 |
25 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$1K |
| 81025 |
|
473 |
451 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
185 |
$855.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$608.70 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
244 |
243 |
$592.68 |
| 90715 |
|
12 |
12 |
$398.64 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
189 |
175 |
$343.60 |
| 76801 |
|
81 |
80 |
$126.02 |
| 99406 |
|
23 |
15 |
$77.40 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
445 |
427 |
$0.00 |
| 59426 |
|
563 |
544 |
$0.00 |
| 59430 |
|
396 |
393 |
$0.00 |
| 59514 |
|
86 |
85 |
$0.00 |