| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
59 |
51 |
$65K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
161 |
142 |
$17K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
313 |
292 |
$13K |
| 99199 |
Unlisted special service, procedure or report |
839 |
828 |
$3K |
| 76801 |
|
67 |
59 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
29 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
28 |
$1K |
| 3078F |
|
159 |
150 |
$0.00 |
| 0500F |
|
329 |
316 |
$0.00 |
| 3074F |
|
196 |
186 |
$0.00 |