| Code | Description | Claims | Beneficiaries | Total Paid |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
10,149 |
6,027 |
$667K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,142 |
13,225 |
$366K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
536 |
536 |
$294K |
| 59425 |
|
4,191 |
2,429 |
$253K |
| 59430 |
|
1,203 |
1,192 |
$75K |
| H1000 |
Prenatal care, at-risk assessment |
543 |
539 |
$68K |
| Z1034 |
|
648 |
381 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
708 |
708 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
403 |
403 |
$28K |
| 81025 |
|
7,560 |
7,097 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
636 |
636 |
$17K |
| 76813 |
|
125 |
125 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
286 |
$11K |
| 76801 |
|
130 |
130 |
$10K |
| 99215 |
Prolong outpt/office vis |
74 |
74 |
$9K |
| 58100 |
|
94 |
92 |
$3K |
| 0013A |
|
64 |
64 |
$3K |
| 0003A |
|
63 |
63 |
$3K |
| Z1032 |
|
13 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$271.50 |