| Code | Description | Claims | Beneficiaries | Total Paid |
| 99078 |
|
10,464 |
2,003 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,559 |
1,991 |
$230K |
| 59425 |
|
1,057 |
542 |
$64K |
| 96151 |
|
1,397 |
746 |
$41K |
| 99215 |
Prolong outpt/office vis |
484 |
467 |
$35K |
| 99401 |
|
893 |
483 |
$27K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
706 |
521 |
$21K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
39 |
39 |
$20K |
| 97803 |
|
1,045 |
642 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
197 |
174 |
$12K |
| H2000 |
Comprehensive multidisciplinary evaluation |
81 |
81 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
196 |
$8K |
| Z1034 |
|
140 |
94 |
$8K |
| 59514 |
|
12 |
12 |
$5K |
| 96152 |
|
86 |
83 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
85 |
82 |
$2K |
| S9452 |
Nutrition classes, non-physician provider, per session |
73 |
71 |
$2K |
| Z6304 |
|
47 |
40 |
$1K |
| 59025 |
Fetal non-stress test |
54 |
25 |
$1K |
| Z6410 |
|
28 |
25 |
$841.74 |
| Z6204 |
|
48 |
42 |
$746.25 |
| 81000 |
|
12 |
12 |
$30.70 |