| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,007 |
1,000 |
$273K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
4,572 |
2,730 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,943 |
6,846 |
$139K |
| 59514 |
|
112 |
111 |
$31K |
| 59425 |
|
1,281 |
755 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
851 |
805 |
$16K |
| 76801 |
|
161 |
161 |
$12K |
| Z1034 |
|
113 |
62 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
49 |
48 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
158 |
$2K |
| 59430 |
|
50 |
50 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$606.57 |
| 92552 |
|
439 |
438 |
$472.92 |
| H1000 |
Prenatal care, at-risk assessment |
26 |
26 |
$378.93 |
| 3074F |
|
2,739 |
2,348 |
$137.59 |
| 3078F |
|
2,396 |
2,073 |
$106.79 |
| 81002 |
|
35 |
27 |
$93.99 |
| 99173 |
|
430 |
430 |
$71.28 |
| 99000 |
|
715 |
692 |
$62.12 |
| 81003 |
|
1,808 |
1,586 |
$34.00 |
| 3077F |
|
179 |
166 |
$27.30 |
| 81025 |
|
54 |
53 |
$20.40 |
| 90686 |
|
73 |
73 |
$18.00 |
| 85018 |
|
559 |
551 |
$17.29 |
| 82947 |
|
48 |
42 |
$8.89 |
| 3079F |
|
764 |
703 |
$0.00 |
| 3075F |
|
301 |
289 |
$0.00 |
| 94760 |
|
270 |
250 |
$0.00 |
| 91301 |
|
104 |
96 |
$0.00 |
| 3080F |
|
48 |
43 |
$0.00 |