| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
|
3,208 |
3,206 |
$1.17M |
| 59514 |
|
1,535 |
1,533 |
$553K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
10,357 |
6,134 |
$401K |
| 99214 |
|
6,495 |
5,773 |
$228K |
| H1000 |
Prenatal care, at-risk assessment |
1,499 |
1,492 |
$148K |
| 99223 |
Prolong inpt eval add15 m |
2,054 |
1,863 |
$107K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
2,002 |
1,872 |
$103K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
5,570 |
4,602 |
$84K |
| 99212 |
|
1,661 |
991 |
$72K |
| 58300 |
|
633 |
362 |
$56K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
71 |
71 |
$49K |
| 99205 |
Prolong outpt/office vis |
664 |
664 |
$45K |
| 99204 |
|
639 |
639 |
$35K |
| 99401 |
|
3,476 |
2,732 |
$34K |
| 76856 |
|
632 |
630 |
$30K |
| 76830 |
|
618 |
616 |
$29K |
| 99233 |
Prolong inpt eval add15 m |
1,007 |
361 |
$28K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
40 |
40 |
$25K |
| 59430 |
|
668 |
667 |
$22K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,155 |
2,144 |
$19K |
| 97803 |
|
1,982 |
1,966 |
$17K |
| 58120 |
|
129 |
92 |
$16K |
| H2000 |
Comprehensive multidisciplinary evaluation |
234 |
234 |
$15K |
| 99000 |
|
2,449 |
2,392 |
$15K |
| 81025 |
|
1,682 |
1,666 |
$15K |
| 76815 |
|
430 |
231 |
$13K |
| 76801 |
|
274 |
270 |
$13K |
| 76813 |
|
185 |
183 |
$12K |
| 11981 |
|
127 |
63 |
$12K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,377 |
1,096 |
$12K |
| 99244 |
|
249 |
248 |
$10K |
| 59025 |
|
621 |
252 |
$9K |
| 96156 |
|
1,124 |
1,121 |
$9K |
| 99201 |
|
834 |
534 |
$8K |
| 76817 |
|
114 |
105 |
$7K |
| 99245 |
|
124 |
123 |
$5K |
| 58740 |
|
26 |
26 |
$5K |
| 64435 |
|
78 |
77 |
$4K |
| 99358 |
Prolong nursin fac eval 15m |
96 |
93 |
$4K |
| 99215 |
Prolong outpt/office vis |
45 |
45 |
$3K |
| 96151 |
|
388 |
379 |
$3K |
| 99070 |
|
281 |
279 |
$3K |
| 59425 |
|
78 |
57 |
$3K |
| S9452 |
Nutrition classes, non-physician provider, per session |
253 |
253 |
$2K |
| J3490 |
Unclassified drugs |
51 |
51 |
$1K |
| 76816 |
|
30 |
30 |
$1K |
| 58558 |
|
12 |
12 |
$1K |
| 99072 |
|
95 |
93 |
$847.06 |
| 99221 |
|
12 |
12 |
$725.76 |
| 99243 |
|
13 |
13 |
$481.41 |
| 96152 |
|
29 |
29 |
$193.43 |
| 96158 |
|
15 |
13 |
$126.15 |
| 59400 |
|
12 |
12 |
$0.00 |