| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
136 |
136 |
$298K |
| 59025 |
Fetal non-stress test |
2,507 |
907 |
$77K |
| 59510 |
|
12 |
12 |
$29K |
| 59426 |
|
20 |
20 |
$18K |
| 99235 |
|
107 |
78 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
231 |
219 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
77 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
82 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
162 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
73 |
73 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$3K |
| 54160 |
|
25 |
25 |
$3K |