| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
5,324 |
3,087 |
$245K |
| Z1034 |
|
3,067 |
1,786 |
$188K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
278 |
277 |
$131K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
785 |
784 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,421 |
1,349 |
$61K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
658 |
656 |
$52K |
| Z1032 |
|
322 |
322 |
$42K |
| 99215 |
Prolong outpt/office vis |
298 |
297 |
$31K |
| Z6410 |
|
3,650 |
2,121 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
454 |
449 |
$26K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
894 |
537 |
$14K |
| 59514 |
|
26 |
26 |
$12K |
| 76801 |
|
144 |
144 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
152 |
37 |
$8K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
387 |
255 |
$7K |
| 59025 |
Fetal non-stress test |
324 |
74 |
$6K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
205 |
118 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
64 |
$5K |
| 99000 |
|
607 |
599 |
$5K |
| 59430 |
|
113 |
106 |
$4K |
| 81025 |
|
889 |
882 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
221 |
221 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
71 |
71 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
41 |
$621.82 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
19 |
$386.95 |
| 99072 |
|
15 |
14 |
$0.00 |