| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
38 |
37 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,040 |
1,939 |
$56K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
270 |
224 |
$19K |
| 76801 |
|
179 |
161 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
125 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
163 |
76 |
$9K |
| 76813 |
|
92 |
87 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
98 |
95 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
271 |
247 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
37 |
31 |
$3K |
| 76830 |
Ultrasound, transvaginal |
35 |
34 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
28 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
51 |
46 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
39 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
29 |
28 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
38 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
14 |
14 |
$668.03 |
| 99000 |
|
97 |
93 |
$165.75 |
| 96161 |
|
30 |
29 |
$74.68 |
| 59430 |
|
15 |
14 |
$5.00 |