| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
604 |
603 |
$1.44M |
| 76801 |
|
635 |
635 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
590 |
580 |
$67K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
799 |
787 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
380 |
375 |
$27K |
| 81002 |
|
11,471 |
9,350 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
107 |
$12K |
| 90674 |
|
300 |
298 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
602 |
586 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,030 |
1,028 |
$3K |
| 90715 |
|
42 |
42 |
$2K |
| 90686 |
|
80 |
80 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,501 |
3,452 |
$327.50 |
| 99459 |
|
13 |
13 |
$271.83 |
| 99000 |
|
5,878 |
5,752 |
$0.00 |