| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
13,381 |
7,899 |
$744K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,333 |
1,327 |
$642K |
| Z1034 |
|
8,380 |
5,171 |
$516K |
| Z1032 |
|
1,790 |
1,790 |
$277K |
| Z6500 |
|
1,790 |
1,790 |
$222K |
| 59514 |
|
551 |
548 |
$218K |
| 99215 |
Prolong outpt/office vis |
1,063 |
1,027 |
$135K |
| 59430 |
|
1,491 |
1,306 |
$75K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
692 |
684 |
$60K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
912 |
529 |
$50K |
| 76801 |
|
459 |
447 |
$34K |
| H2000 |
Comprehensive multidisciplinary evaluation |
171 |
171 |
$18K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,924 |
1,885 |
$18K |
| Z6400 |
|
1,801 |
1,800 |
$14K |
| Z1038 |
|
208 |
208 |
$11K |
| Z6406 |
|
609 |
527 |
$11K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
212 |
212 |
$6K |
| H1000 |
Prenatal care, at-risk assessment |
56 |
32 |
$5K |
| 81025 |
|
1,307 |
1,272 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
75 |
$3K |
| Z6414 |
|
207 |
207 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
80 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
36 |
36 |
$2K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
17 |
17 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
409 |
409 |
$2K |
| Z6308 |
|
200 |
200 |
$2K |
| Z6208 |
|
207 |
207 |
$2K |
| Z6204 |
|
76 |
75 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
160 |
160 |
$1K |
| Z6304 |
|
40 |
40 |
$382.29 |
| S9452 |
Nutrition classes, non-physician provider, per session |
59 |
42 |
$375.01 |
| 96152 |
|
47 |
30 |
$375.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
13 |
$317.75 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
29 |
28 |
$308.28 |
| 96156 |
|
12 |
12 |
$0.00 |
| 3351F |
|
110 |
106 |
$0.00 |