| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
1,448 |
786 |
$86K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,773 |
1,033 |
$74K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
86 |
84 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
461 |
461 |
$28K |
| 99215 |
Prolong outpt/office vis |
181 |
180 |
$23K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,427 |
832 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
463 |
437 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
127 |
126 |
$11K |
| 59430 |
|
43 |
41 |
$3K |
| 99000 |
|
91 |
91 |
$827.52 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
17 |
$493.59 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$262.50 |
| 81025 |
|
26 |
26 |
$38.99 |