| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
110 |
86 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,606 |
1,385 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
951 |
818 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
573 |
507 |
$47K |
| 99385 |
|
308 |
287 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
256 |
229 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
507 |
437 |
$14K |
| J7301 |
Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg |
15 |
13 |
$8K |
| 81025 |
|
1,165 |
985 |
$6K |
| 76830 |
Ultrasound, transvaginal |
41 |
27 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
48 |
44 |
$2K |
| 54150 |
|
37 |
31 |
$2K |
| 81002 |
|
588 |
384 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
22 |
12 |
$1K |
| 58300 |
|
15 |
13 |
$667.94 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$581.53 |
| 0502F |
|
54 |
38 |
$425.00 |