| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
940 |
935 |
$342K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
5,865 |
3,889 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,461 |
8,679 |
$132K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,768 |
2,756 |
$82K |
| 59514 |
|
236 |
235 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,678 |
1,035 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,099 |
2,713 |
$67K |
| 99233 |
Prolong inpt eval add15 m |
1,554 |
851 |
$46K |
| 81000 |
|
9,825 |
6,748 |
$24K |
| 59425 |
|
1,248 |
974 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
976 |
975 |
$15K |
| 99215 |
Prolong outpt/office vis |
281 |
281 |
$11K |
| 81003 |
|
6,360 |
4,414 |
$11K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
30 |
30 |
$10K |
| Z1034 |
|
135 |
85 |
$7K |
| 99000 |
|
3,675 |
2,782 |
$7K |
| 81025 |
|
2,996 |
2,927 |
$6K |
| 99201 |
|
687 |
421 |
$6K |
| 99205 |
Prolong outpt/office vis |
56 |
56 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
30 |
29 |
$2K |
| 59430 |
|
41 |
41 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
39 |
$341.60 |
| 58100 |
|
14 |
12 |
$308.74 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
703 |
701 |
$273.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
15 |
$134.54 |
| 87210 |
|
12 |
12 |
$5.67 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$5.03 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2.90 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
160 |
160 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
61 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |