| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,541 |
1,692 |
$172K |
| Z1034 |
|
1,672 |
1,153 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,581 |
2,338 |
$93K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
896 |
895 |
$77K |
| Z1032 |
|
216 |
216 |
$29K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
47 |
47 |
$24K |
| H1000 |
Prenatal care, at-risk assessment |
66 |
66 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
704 |
664 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
186 |
154 |
$8K |
| 99000 |
|
1,138 |
1,009 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$3K |
| 81025 |
|
510 |
509 |
$3K |
| 59425 |
|
31 |
14 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
40 |
$959.33 |
| 59430 |
|
14 |
14 |
$846.72 |
| 81002 |
|
335 |
240 |
$772.83 |
| Z6410 |
|
12 |
12 |
$123.39 |
| 99441 |
|
13 |
13 |
$121.92 |
| 81003 |
|
54 |
40 |
$100.74 |