| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
248 |
194 |
$259K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
357 |
318 |
$27K |
| G9357 |
Post-partum screenings, evaluations and education performed |
178 |
166 |
$15K |
| H1000 |
Prenatal care, at-risk assessment |
147 |
106 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,047 |
1,003 |
$10K |
| 99215 |
Prolong outpt/office vis |
109 |
106 |
$10K |
| 81025 |
|
3,624 |
3,315 |
$10K |
| 76801 |
|
187 |
162 |
$10K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
174 |
170 |
$7K |
| 99406 |
|
750 |
696 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
353 |
288 |
$6K |
| 81000 |
|
4,128 |
2,942 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
73 |
66 |
$3K |
| 81002 |
|
554 |
487 |
$1K |
| 54150 |
|
24 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$741.00 |
| 87210 |
|
146 |
137 |
$640.00 |
| 59425 |
|
66 |
65 |
$562.00 |
| 59430 |
|
140 |
130 |
$50.00 |
| 59426 |
|
145 |
142 |
$0.00 |
| 85013 |
|
750 |
713 |
$0.00 |
| 85018 |
|
749 |
715 |
$0.00 |