| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,093 |
576 |
$831K |
| 59510 |
|
572 |
299 |
$450K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,729 |
3,604 |
$209K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,985 |
3,958 |
$90K |
| 54150 |
|
422 |
414 |
$68K |
| 76801 |
|
2,300 |
1,622 |
$65K |
| H1000 |
Prenatal care, at-risk assessment |
830 |
478 |
$51K |
| 59514 |
|
390 |
289 |
$47K |
| G9357 |
Post-partum screenings, evaluations and education performed |
507 |
434 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
893 |
696 |
$18K |
| 57454 |
|
123 |
112 |
$10K |
| 81002 |
|
4,492 |
3,690 |
$9K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
20 |
14 |
$8K |
| 59025 |
Fetal non-stress test |
319 |
89 |
$6K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
139 |
115 |
$5K |
| 81025 |
|
1,885 |
1,506 |
$4K |
| 54160 |
|
18 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
26 |
24 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
56 |
37 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 11981 |
|
20 |
14 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
98 |
49 |
$735.20 |
| 59426 |
|
283 |
264 |
$491.00 |
| 59425 |
|
80 |
67 |
$281.00 |
| 59430 |
|
198 |
188 |
$225.00 |
| 81000 |
|
4,038 |
2,134 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
359 |
277 |
$0.00 |