| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59510 |
|
44 |
37 |
$56K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
13 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
265 |
226 |
$15K |
| G9357 |
Post-partum screenings, evaluations and education performed |
167 |
137 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
175 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
233 |
209 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
173 |
$6K |
| 81002 |
|
2,421 |
1,568 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
199 |
156 |
$5K |
| 54150 |
|
54 |
25 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
67 |
50 |
$4K |
| 59025 |
Fetal non-stress test |
159 |
101 |
$3K |
| 85018 |
|
1,419 |
1,171 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
297 |
264 |
$3K |
| 90674 |
|
54 |
42 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
425 |
357 |
$680.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
90 |
$425.00 |
| 90756 |
|
17 |
13 |
$227.90 |
| 82947 |
|
63 |
62 |
$196.00 |
| 90658 |
|
13 |
13 |
$129.60 |