| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
103 |
79 |
$50K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
21 |
13 |
$23K |
| 81003 |
|
7,307 |
4,098 |
$14K |
| 99199 |
Unlisted special service, procedure or report |
3,188 |
3,000 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
479 |
330 |
$5K |
| 90715 |
|
114 |
85 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
706 |
538 |
$1K |
| 81025 |
|
156 |
115 |
$886.24 |
| 59025 |
Fetal non-stress test |
24 |
17 |
$698.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
57 |
$587.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
15 |
$452.30 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
33 |
26 |
$0.00 |