| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
27,102 |
15,219 |
$2.10M |
| 59410 |
|
1,077 |
1,048 |
$1.24M |
| 59515 |
|
506 |
494 |
$700K |
| 59430 |
|
2,856 |
2,449 |
$631K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,026 |
1,968 |
$403K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
402 |
389 |
$42K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
32 |
31 |
$35K |
| 59514 |
|
30 |
30 |
$33K |
| 99215 |
Prolong outpt/office vis |
184 |
148 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
259 |
$28K |
| 54160 |
|
24 |
24 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
63 |
62 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
62 |
61 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$465.23 |
| 81000 |
|
61 |
46 |
$166.02 |
| 99080 |
|
3,601 |
2,228 |
$0.00 |