| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,506 |
1,361 |
$1.87M |
| 59510 |
|
956 |
781 |
$1.11M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,173 |
1,820 |
$190K |
| 54150 |
|
928 |
841 |
$134K |
| 99215 |
Prolong outpt/office vis |
1,166 |
1,002 |
$97K |
| 99235 |
|
881 |
670 |
$92K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,174 |
1,049 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,413 |
1,178 |
$76K |
| 59025 |
Fetal non-stress test |
2,416 |
915 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,619 |
1,252 |
$56K |
| 99460 |
|
935 |
820 |
$49K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
936 |
815 |
$41K |
| 76801 |
|
532 |
433 |
$33K |
| 81025 |
|
5,118 |
4,324 |
$25K |
| 99462 |
|
727 |
584 |
$18K |
| 0500F |
|
2,419 |
2,157 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
72 |
$1K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
19 |
13 |
$928.46 |
| 81002 |
|
601 |
476 |
$862.31 |
| 59430 |
|
25 |
13 |
$450.00 |
| 81003 |
|
41 |
41 |
$56.06 |
| 0503F |
|
1,373 |
1,293 |
$40.00 |
| 0502F |
|
2,388 |
2,131 |
$0.00 |
| 0501F |
|
2,395 |
2,137 |
$0.00 |
| 99024 |
|
1,478 |
1,405 |
$0.00 |