| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,093 |
12,552 |
$837K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
350 |
338 |
$640K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,913 |
3,793 |
$415K |
| 76818 |
|
4,864 |
2,501 |
$375K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,619 |
6,137 |
$373K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,377 |
2,213 |
$203K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,638 |
2,447 |
$191K |
| 81002 |
|
39,870 |
27,660 |
$112K |
| 76830 |
Ultrasound, transvaginal |
1,213 |
1,118 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
807 |
760 |
$69K |
| 59025 |
Fetal non-stress test |
2,282 |
1,971 |
$57K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
744 |
739 |
$54K |
| 59510 |
|
28 |
26 |
$46K |
| 81025 |
|
6,423 |
5,972 |
$44K |
| 0503F |
|
591 |
562 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
967 |
865 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
565 |
496 |
$31K |
| 54150 |
|
224 |
219 |
$21K |
| 76820 |
|
286 |
137 |
$19K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
17 |
13 |
$17K |
| 87210 |
|
2,001 |
1,803 |
$9K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
71 |
43 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
317 |
274 |
$4K |
| 99385 |
|
24 |
24 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
14 |
$2K |