| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
2,092 |
1,214 |
$113K |
| Z1034 |
|
1,054 |
687 |
$64K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,403 |
864 |
$58K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
878 |
872 |
$46K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
96 |
94 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
914 |
878 |
$39K |
| 99215 |
Prolong outpt/office vis |
223 |
222 |
$25K |
| 59514 |
|
13 |
13 |
$7K |
| 59430 |
|
82 |
76 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
71 |
$5K |
| Z1032 |
|
15 |
15 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$1K |
| 99070 |
|
111 |
109 |
$600.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$184.86 |