| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
154 |
154 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,050 |
882 |
$52K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
145 |
145 |
$38K |
| Z1032 |
|
168 |
168 |
$26K |
| H1000 |
Prenatal care, at-risk assessment |
204 |
202 |
$24K |
| Z6500 |
|
81 |
81 |
$10K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
13 |
13 |
$9K |
| 58300 |
|
55 |
28 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
31 |
30 |
$5K |
| 59514 |
|
25 |
25 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$3K |
| 59425 |
|
158 |
118 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
78 |
77 |
$1K |
| Z6400 |
|
84 |
82 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$750.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
12 |
12 |
$679.15 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
17 |
12 |
$492.72 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
17 |
17 |
$477.42 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17 |
15 |
$241.92 |
| 81025 |
|
72 |
72 |
$166.41 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$126.31 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
12 |
12 |
$84.10 |