| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
267 |
110 |
$110K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,122 |
1,313 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
539 |
396 |
$17K |
| 84703 |
|
3,035 |
2,285 |
$12K |
| 54150 |
|
99 |
53 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
593 |
392 |
$7K |
| G9357 |
Post-partum screenings, evaluations and education performed |
106 |
53 |
$4K |
| 81002 |
|
15,235 |
9,053 |
$4K |
| 82950 |
|
721 |
612 |
$3K |
| 90674 |
|
150 |
111 |
$2K |
| 85018 |
|
1,835 |
1,572 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
275 |
211 |
$870.00 |
| 59426 |
|
105 |
100 |
$736.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
26 |
$637.89 |
| 90756 |
|
14 |
12 |
$304.70 |
| 99459 |
|
45 |
38 |
$232.20 |
| 3078F |
|
25,479 |
17,161 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
65 |
65 |
$0.00 |
| 3074F |
|
28,337 |
18,892 |
$0.00 |
| 3079F |
|
4,518 |
3,330 |
$0.00 |
| 76801 |
|
62 |
48 |
$0.00 |
| 3075F |
|
783 |
613 |
$0.00 |
| 59430 |
|
74 |
66 |
$0.00 |