| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
508 |
491 |
$894K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,848 |
2,799 |
$366K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,457 |
5,459 |
$205K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,206 |
1,123 |
$127K |
| 59025 |
Fetal non-stress test |
4,267 |
1,357 |
$114K |
| 59510 |
|
87 |
50 |
$105K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
139 |
133 |
$95K |
| 76830 |
Ultrasound, transvaginal |
671 |
655 |
$77K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
694 |
678 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,409 |
1,299 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
433 |
421 |
$36K |
| 59426 |
|
194 |
192 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
352 |
$26K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
534 |
527 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,285 |
1,045 |
$18K |
| 58300 |
|
192 |
188 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
16 |
14 |
$12K |
| 76801 |
|
68 |
65 |
$8K |
| 59425 |
|
12 |
12 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
41 |
38 |
$3K |
| 59514 |
|
12 |
12 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
36 |
34 |
$2K |
| 59430 |
|
369 |
369 |
$368.01 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
754 |
737 |
$0.00 |