| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
662 |
638 |
$1.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,961 |
3,411 |
$205K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,700 |
1,590 |
$146K |
| 76801 |
|
1,203 |
1,081 |
$75K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
113 |
96 |
$74K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,372 |
1,236 |
$71K |
| 81002 |
|
17,141 |
10,807 |
$51K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
961 |
856 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
571 |
519 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
533 |
481 |
$45K |
| 76830 |
Ultrasound, transvaginal |
411 |
383 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
268 |
249 |
$24K |
| 81025 |
|
3,113 |
2,713 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
291 |
258 |
$20K |
| 59410 |
|
27 |
24 |
$18K |
| 0500F |
|
451 |
394 |
$14K |
| 0503F |
|
176 |
174 |
$11K |
| 54150 |
|
97 |
93 |
$6K |
| 59025 |
Fetal non-stress test |
75 |
53 |
$3K |
| 96127 |
|
314 |
301 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$693.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$219.93 |
| 0502F |
|
5,879 |
3,694 |
$18.50 |
| 99024 |
|
115 |
108 |
$0.00 |