| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
342 |
342 |
$186K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,013 |
6,838 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,722 |
1,720 |
$30K |
| Z1034 |
|
532 |
385 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
917 |
917 |
$27K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
385 |
384 |
$26K |
| 76801 |
|
718 |
677 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
298 |
298 |
$13K |
| 99215 |
Prolong outpt/office vis |
211 |
211 |
$11K |
| 59425 |
|
880 |
669 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
197 |
197 |
$7K |
| 88150 |
|
805 |
805 |
$4K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
678 |
476 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
84 |
82 |
$2K |
| 57454 |
|
16 |
15 |
$689.12 |
| 59426 |
|
343 |
247 |
$247.27 |
| 59430 |
|
17 |
12 |
$60.48 |