| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
320 |
300 |
$515K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,664 |
1,549 |
$162K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,487 |
1,452 |
$128K |
| 76830 |
Ultrasound, transvaginal |
925 |
870 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
776 |
744 |
$55K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
642 |
580 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,394 |
5,213 |
$33K |
| 76801 |
|
236 |
232 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
268 |
254 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,200 |
1,038 |
$15K |
| 81025 |
|
2,008 |
1,878 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
492 |
434 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
37 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
40 |
39 |
$2K |
| 58300 |
|
24 |
24 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
528 |
478 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
18 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$819.10 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20 |
15 |
$621.00 |
| 99000 |
|
3,883 |
3,303 |
$562.52 |
| 81002 |
|
99 |
87 |
$130.93 |