| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
148 |
140 |
$272K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
304 |
289 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
644 |
596 |
$26K |
| 99385 |
|
135 |
129 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
51 |
44 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$2K |
| 0503F |
|
214 |
142 |
$980.00 |
| 0500F |
|
152 |
145 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
15 |
13 |
$0.00 |