| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
434 |
336 |
$427K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
9,438 |
7,874 |
$345K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,528 |
2,180 |
$86K |
| 76830 |
Ultrasound, transvaginal |
904 |
866 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
916 |
831 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,095 |
889 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
259 |
242 |
$23K |
| G9357 |
Post-partum screenings, evaluations and education performed |
289 |
231 |
$23K |
| 54150 |
|
115 |
105 |
$14K |
| 83026 |
|
6,244 |
4,235 |
$9K |
| 76801 |
|
474 |
387 |
$9K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
426 |
249 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
108 |
$7K |
| 81003 |
|
20,548 |
15,060 |
$5K |
| 85018 |
|
5,563 |
4,563 |
$5K |
| 90715 |
|
137 |
120 |
$3K |
| 90688 |
|
260 |
175 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
30 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
552 |
413 |
$2K |
| 81025 |
|
675 |
616 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
135 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
15 |
$564.00 |
| 80305 |
|
56 |
56 |
$544.41 |
| 81002 |
|
34 |
31 |
$80.61 |
| 3075F |
|
2,089 |
1,887 |
$0.00 |
| 3008F |
|
19,574 |
16,011 |
$0.00 |
| 3079F |
|
5,845 |
5,102 |
$0.00 |
| 1036F |
|
17,954 |
13,698 |
$0.00 |
| 0500F |
|
523 |
510 |
$0.00 |
| 1034F |
|
1,128 |
906 |
$0.00 |
| 3074F |
|
14,848 |
12,275 |
$0.00 |
| 3080F |
|
1,962 |
1,668 |
$0.00 |
| 0503F |
|
473 |
436 |
$0.00 |
| 1035F |
|
226 |
179 |
$0.00 |
| 99024 |
|
24 |
15 |
$0.00 |
| 0502F |
|
11,807 |
8,908 |
$0.00 |
| 1160F |
|
6,598 |
5,460 |
$0.00 |
| 59426 |
|
307 |
299 |
$0.00 |
| 3078F |
|
11,080 |
9,379 |
$0.00 |
| 01960 |
|
291 |
280 |
$0.00 |
| 3077F |
|
971 |
817 |
$0.00 |
| 1159F |
|
5,174 |
4,274 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
299 |
287 |
$0.00 |