| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
13 |
$23K |
| 59025 |
Fetal non-stress test |
160 |
126 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
63 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101 |
95 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
95 |
$3K |
| 99219 |
|
13 |
13 |
$1K |
| 81025 |
|
58 |
55 |
$271.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$245.52 |
| 81002 |
|
134 |
109 |
$95.70 |
| 99000 |
|
118 |
111 |
$0.00 |
| 59426 |
|
16 |
15 |
$0.00 |