| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
496 |
284 |
$49K |
| 59426 |
|
519 |
369 |
$6K |
| 54150 |
|
36 |
24 |
$4K |
| 59425 |
|
16 |
15 |
$4K |
| G9357 |
Post-partum screenings, evaluations and education performed |
40 |
40 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
604 |
554 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
369 |
350 |
$1K |
| 90686 |
|
52 |
51 |
$932.47 |
| 90674 |
|
31 |
30 |
$673.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
81 |
$375.00 |
| 81002 |
|
2,823 |
1,737 |
$42.52 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
306 |
215 |
$0.00 |
| 59510 |
|
15 |
12 |
$0.00 |
| 81000 |
|
269 |
251 |
$0.00 |
| 59430 |
|
566 |
400 |
$0.00 |
| 76801 |
|
85 |
84 |
$0.00 |