| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
22 |
13 |
$17K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
60 |
45 |
$3K |
| G9357 |
Post-partum screenings, evaluations and education performed |
47 |
38 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
52 |
36 |
$2K |
| 54150 |
|
15 |
12 |
$2K |
| 81002 |
|
782 |
530 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
25 |
$904.65 |
| 87210 |
|
373 |
247 |
$882.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
79 |
$539.03 |
| 82950 |
|
129 |
90 |
$428.82 |