| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
449 |
449 |
$1.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,315 |
12,482 |
$878K |
| 76830 |
Ultrasound, transvaginal |
1,875 |
1,843 |
$148K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,347 |
1,343 |
$111K |
| 99442 |
|
2,056 |
1,976 |
$110K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,240 |
1,031 |
$96K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
895 |
892 |
$79K |
| 59510 |
|
24 |
24 |
$62K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,004 |
8,753 |
$59K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,386 |
2,376 |
$48K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
37 |
37 |
$33K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,851 |
1,844 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
282 |
282 |
$24K |
| 59025 |
Fetal non-stress test |
389 |
301 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
171 |
171 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
188 |
$15K |
| 87110 |
|
1,440 |
1,434 |
$10K |
| 99386 |
|
81 |
80 |
$9K |
| 58300 |
|
114 |
114 |
$8K |
| 81025 |
|
2,264 |
2,154 |
$8K |
| 87070 |
|
1,077 |
1,072 |
$5K |
| 99215 |
Prolong outpt/office vis |
30 |
28 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,293 |
2,956 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
52 |
$2K |
| 58301 |
|
25 |
25 |
$2K |
| 87081 |
|
166 |
165 |
$643.85 |
| 99441 |
|
22 |
22 |
$248.13 |
| 3725F |
|
7,515 |
6,566 |
$21.01 |