| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
14,783 |
8,420 |
$705K |
| 59515 |
|
635 |
524 |
$497K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,851 |
8,529 |
$304K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,828 |
2,089 |
$240K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,730 |
1,545 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,613 |
2,250 |
$105K |
| 59430 |
|
1,116 |
1,006 |
$91K |
| 59410 |
|
56 |
55 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
546 |
523 |
$38K |
| 99385 |
|
533 |
470 |
$36K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
172 |
39 |
$31K |
| 99386 |
|
282 |
252 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
700 |
577 |
$25K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
24 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
638 |
563 |
$21K |
| 51729 |
|
59 |
54 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
140 |
137 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
75 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
163 |
141 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
203 |
120 |
$4K |
| 99221 |
|
52 |
41 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
20 |
13 |
$1K |
| 51797 |
|
59 |
54 |
$272.74 |
| 51784 |
|
59 |
54 |
$207.37 |
| 51741 |
|
59 |
54 |
$60.32 |