| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
552 |
539 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
538 |
531 |
$51K |
| Z1034 |
|
614 |
426 |
$34K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
82 |
82 |
$31K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
508 |
350 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
71 |
$16K |
| 81025 |
|
2,073 |
1,991 |
$9K |
| J3490 |
Unclassified drugs |
77 |
64 |
$3K |
| 58120 |
|
32 |
16 |
$3K |
| 76801 |
|
43 |
43 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
164 |
164 |
$2K |
| 59425 |
|
56 |
38 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
15 |
$703.74 |