| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,997 |
10,776 |
$804K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
251 |
247 |
$512K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,472 |
3,319 |
$341K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,295 |
1,278 |
$180K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
80 |
80 |
$111K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
379 |
377 |
$39K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
482 |
478 |
$34K |
| 59430 |
|
76 |
76 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
259 |
228 |
$16K |
| 59025 |
Fetal non-stress test |
239 |
209 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
131 |
122 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
553 |
544 |
$7K |
| 76830 |
Ultrasound, transvaginal |
68 |
67 |
$6K |
| 99441 |
|
176 |
175 |
$3K |
| 90715 |
|
65 |
65 |
$3K |
| 90756 |
|
90 |
89 |
$2K |
| 90686 |
|
90 |
89 |
$2K |
| 81025 |
|
208 |
203 |
$1K |
| 81002 |
|
260 |
260 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 90674 |
|
49 |
49 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$730.29 |
| 96127 |
|
159 |
151 |
$452.78 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$13.50 |
| 0500F |
|
167 |
167 |
$0.00 |
| 0503F |
|
168 |
168 |
$0.00 |
| 0502F |
|
2,417 |
2,131 |
$0.00 |
| 3015F |
|
27 |
27 |
$0.00 |