| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
4,920 |
3,168 |
$301K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
3,315 |
3,297 |
$202K |
| 59514 |
|
1,887 |
1,799 |
$88K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,534 |
13,315 |
$86K |
| 59425 |
|
16,520 |
10,789 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,676 |
14,307 |
$74K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
32,439 |
20,379 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,951 |
7,550 |
$46K |
| Z1032 |
|
248 |
248 |
$38K |
| Z6410 |
|
4,161 |
2,916 |
$33K |
| 59025 |
Fetal non-stress test |
28,676 |
19,118 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,751 |
9,843 |
$28K |
| 81025 |
|
40,102 |
35,887 |
$21K |
| 99215 |
Prolong outpt/office vis |
1,219 |
1,215 |
$20K |
| Z6500 |
|
154 |
154 |
$19K |
| J3490 |
Unclassified drugs |
2,691 |
2,443 |
$18K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
21,693 |
14,497 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,583 |
1,523 |
$16K |
| H1000 |
Prenatal care, at-risk assessment |
3,143 |
3,125 |
$15K |
| Z6406 |
|
1,590 |
1,317 |
$13K |
| H2000 |
Comprehensive multidisciplinary evaluation |
2,888 |
2,757 |
$11K |
| Z6400 |
|
816 |
706 |
$11K |
| 59430 |
|
4,405 |
2,707 |
$9K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
2,069 |
2,064 |
$8K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
27,739 |
19,084 |
$7K |
| Z6304 |
|
667 |
439 |
$6K |
| 99401 |
|
13,212 |
11,055 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,614 |
1,582 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
633 |
580 |
$4K |
| 76801 |
|
328 |
308 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
141 |
85 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,144 |
1,103 |
$3K |
| 96156 |
|
7,749 |
5,455 |
$2K |
| 96151 |
|
3,012 |
2,083 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
351 |
351 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
78 |
73 |
$1K |
| 96152 |
|
727 |
683 |
$814.07 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
96 |
$779.40 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
69 |
53 |
$696.92 |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,041 |
1,011 |
$510.06 |
| 99222 |
Initial hospital care, per day, moderate complexity |
50 |
50 |
$478.52 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$382.65 |
| 97803 |
|
565 |
540 |
$237.16 |
| 81002 |
|
66 |
66 |
$82.91 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
27 |
27 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
49 |
$0.00 |
| 11981 |
|
27 |
27 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
98 |
98 |
$0.00 |
| 99442 |
|
17 |
17 |
$0.00 |
| 58300 |
|
35 |
24 |
$0.00 |
| 57454 |
|
26 |
15 |
$0.00 |
| 99235 |
|
24 |
24 |
$0.00 |