| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,271 |
3,686 |
$293K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
133 |
104 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,706 |
2,239 |
$110K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
462 |
422 |
$54K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
908 |
797 |
$35K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
183 |
177 |
$26K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
403 |
362 |
$26K |
| G9357 |
Post-partum screenings, evaluations and education performed |
295 |
204 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
324 |
257 |
$20K |
| 81025 |
|
4,058 |
3,555 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
95 |
79 |
$10K |
| 99215 |
Prolong outpt/office vis |
68 |
68 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
148 |
121 |
$7K |
| 99205 |
Prolong outpt/office vis |
31 |
29 |
$5K |
| H1000 |
Prenatal care, at-risk assessment |
58 |
47 |
$4K |
| 59025 |
Fetal non-stress test |
208 |
86 |
$4K |
| 81003 |
|
1,540 |
1,354 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
102 |
$3K |
| 54150 |
|
13 |
13 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
83 |
73 |
$2K |
| 96160 |
|
798 |
761 |
$2K |
| 99407 |
|
125 |
97 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
207 |
165 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
863 |
747 |
$1K |
| 99459 |
|
67 |
59 |
$743.00 |
| 90756 |
|
27 |
27 |
$666.50 |
| 36415 |
Collection of venous blood by venipuncture |
286 |
246 |
$418.90 |
| 90686 |
|
22 |
20 |
$361.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
73 |
$330.00 |