FIRST STEPS PRENATAL CARE A.M.C

$1.05M

Total Medicaid Paid

18,053

Total Claims

15,449

Beneficiaries

27

Codes Billed

2018-01

First Month

2023-07

Last Month

Authorized Official	FONTAINE, LUC (OWNER)
NPI Enumeration Date	01/14/2010

Code	Description	Claims	Beneficiaries	Total Paid
59425		3,193	2,236	$191K
Z1034		2,539	1,899	$139K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2,005	1,822	$137K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,159	955	$114K
Z1032		616	616	$97K
Z6500		666	666	$82K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	746	733	$66K
76801		521	513	$37K
Z6410		1,757	1,404	$33K
99215	Prolong outpt/office vis	210	209	$26K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	103	85	$23K
Z6404		604	600	$16K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	119	91	$16K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	289	285	$15K
Z6204		719	680	$14K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	94	88	$13K
Z6304		415	372	$7K
H1003	Prenatal care, at-risk enhanced service; education	253	201	$6K
A4267	Contraceptive supply, condom, male, each	621	617	$5K
59430		59	58	$4K
81025		1,044	1,009	$3K
H2000	Comprehensive multidisciplinary evaluation	24	24	$3K
99401		60	56	$2K
Z6406		63	61	$2K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	127	125	$1K
97803		33	30	$1K
Z6400		14	14	$129.45

Medicaid Provider Spending