| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
612 |
612 |
$884K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,564 |
3,449 |
$597K |
| 96156 |
|
3,995 |
3,464 |
$348K |
| 97803 |
|
5,178 |
4,226 |
$235K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
8,246 |
6,583 |
$224K |
| H2000 |
Comprehensive multidisciplinary evaluation |
1,020 |
1,014 |
$173K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
1,178 |
1,174 |
$150K |
| Z1034 |
|
2,665 |
1,890 |
$147K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,621 |
1,920 |
$131K |
| H1000 |
Prenatal care, at-risk assessment |
1,284 |
1,283 |
$131K |
| 99215 |
Prolong outpt/office vis |
1,707 |
1,622 |
$96K |
| 76801 |
|
1,039 |
1,012 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,160 |
2,137 |
$89K |
| 59025 |
Fetal non-stress test |
3,303 |
1,326 |
$87K |
| 59510 |
|
51 |
51 |
$87K |
| 99205 |
Prolong outpt/office vis |
864 |
864 |
$79K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
162 |
162 |
$72K |
| Z6500 |
|
539 |
539 |
$67K |
| 59425 |
|
1,417 |
1,005 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
777 |
777 |
$49K |
| 96151 |
|
1,708 |
753 |
$46K |
| 96158 |
|
709 |
585 |
$42K |
| Z1032 |
|
282 |
282 |
$41K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
479 |
474 |
$37K |
| Z6410 |
|
1,318 |
1,103 |
$31K |
| 99401 |
|
2,523 |
1,549 |
$26K |
| Z6400 |
|
1,028 |
1,018 |
$20K |
| S9452 |
Nutrition classes, non-physician provider, per session |
908 |
886 |
$20K |
| 96152 |
|
251 |
248 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
223 |
222 |
$17K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
910 |
813 |
$9K |
| 76830 |
Ultrasound, transvaginal |
173 |
172 |
$9K |
| 59514 |
|
26 |
26 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
139 |
126 |
$6K |
| Z6406 |
|
242 |
242 |
$6K |
| Z6204 |
|
241 |
241 |
$5K |
| Z6304 |
|
244 |
244 |
$5K |
| 59430 |
|
62 |
62 |
$3K |
| 0502F |
|
1,393 |
975 |
$2K |
| 99201 |
|
190 |
132 |
$2K |
| 58100 |
|
42 |
42 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
30 |
$654.56 |
| Z1038 |
|
12 |
12 |
$653.16 |
| Z6308 |
|
25 |
25 |
$584.40 |
| 88150 |
|
71 |
71 |
$582.07 |
| Z6208 |
|
25 |
25 |
$561.69 |
| Z6414 |
|
13 |
13 |
$295.23 |
| 81025 |
|
51 |
51 |
$243.30 |
| 0500F |
|
12 |
12 |
$10.00 |
| 0501F |
|
159 |
159 |
$0.00 |