| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,301 |
1,301 |
$598K |
| 59514 |
|
331 |
330 |
$128K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,924 |
2,146 |
$106K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,763 |
1,763 |
$46K |
| H1000 |
Prenatal care, at-risk assessment |
106 |
106 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,172 |
1,120 |
$11K |
| Z1034 |
|
137 |
105 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
190 |
189 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
248 |
226 |
$4K |
| 59425 |
|
502 |
304 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
653 |
630 |
$1K |
| 58100 |
|
12 |
12 |
$510.26 |
| 97803 |
|
82 |
79 |
$445.29 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
12 |
12 |
$353.15 |
| Z6410 |
|
25 |
18 |
$205.91 |
| 99000 |
|
59 |
55 |
$194.87 |
| 99401 |
|
114 |
110 |
$149.63 |
| 96156 |
|
69 |
67 |
$55.51 |
| 88150 |
|
13 |
13 |
$34.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
77 |
77 |
$32.10 |
| 99070 |
|
44 |
44 |
$27.50 |