| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,667 |
3,237 |
$195K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
76 |
53 |
$58K |
| 90715 |
|
122 |
53 |
$3K |
| 0503F |
|
75 |
41 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
52 |
$3K |
| 59025 |
Fetal non-stress test |
94 |
50 |
$2K |
| 90686 |
|
133 |
68 |
$2K |
| 96160 |
|
89 |
60 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
66 |
42 |
$963.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
25 |
$402.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
221 |
109 |
$0.00 |