| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
15,573 |
11,013 |
$797K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,595 |
14,491 |
$582K |
| Z1034 |
|
4,905 |
3,101 |
$273K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
422 |
421 |
$207K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,140 |
2,129 |
$148K |
| 99215 |
Prolong outpt/office vis |
1,042 |
1,015 |
$122K |
| 76813 |
|
799 |
770 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,050 |
1,049 |
$65K |
| Z1032 |
|
429 |
429 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,116 |
2,076 |
$49K |
| 59514 |
|
104 |
104 |
$45K |
| 59430 |
|
719 |
677 |
$39K |
| J3490 |
Unclassified drugs |
465 |
435 |
$35K |
| Z6500 |
|
237 |
237 |
$29K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,128 |
3,023 |
$28K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
3,491 |
2,636 |
$23K |
| 81025 |
|
7,370 |
7,149 |
$23K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
183 |
118 |
$18K |
| Z6410 |
|
1,890 |
1,293 |
$16K |
| H2000 |
Comprehensive multidisciplinary evaluation |
115 |
115 |
$13K |
| Z6204 |
|
1,460 |
1,253 |
$12K |
| Z6406 |
|
1,112 |
873 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
153 |
148 |
$8K |
| 97803 |
|
1,382 |
1,249 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
88 |
87 |
$7K |
| 99401 |
|
1,083 |
913 |
$6K |
| Z6400 |
|
594 |
510 |
$5K |
| Z6304 |
|
662 |
595 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
242 |
241 |
$4K |
| 96127 |
|
724 |
722 |
$3K |
| 96151 |
|
385 |
379 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
45 |
44 |
$3K |
| 57454 |
|
39 |
25 |
$2K |
| 58100 |
|
36 |
24 |
$1K |
| 0500F |
|
30 |
25 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$803.64 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
114 |
96 |
$791.49 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
26 |
24 |
$548.08 |
| Z6414 |
|
27 |
24 |
$207.43 |
| 99402 |
|
18 |
15 |
$158.27 |
| 3351F |
|
12 |
12 |
$100.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
13 |
13 |
$99.96 |
| 96156 |
|
29 |
27 |
$0.00 |