| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,335 |
8,188 |
$181K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,390 |
2,386 |
$81K |
| 59514 |
|
327 |
327 |
$74K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,498 |
905 |
$32K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,323 |
884 |
$30K |
| 99222 |
Initial hospital care, per day, moderate complexity |
593 |
587 |
$26K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
53 |
52 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
515 |
512 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
281 |
281 |
$6K |
| 88150 |
|
1,154 |
1,153 |
$6K |
| 58740 |
|
42 |
42 |
$5K |
| 64435 |
|
152 |
151 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
625 |
570 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
14 |
14 |
$1K |
| 81025 |
|
440 |
437 |
$484.68 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
904 |
903 |
$131.45 |
| 57454 |
|
12 |
12 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |