| Code | Description | Claims | Beneficiaries | Total Paid |
| 99238 |
Hospital discharge day management, 30 minutes or less |
430 |
408 |
$15K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
59 |
49 |
$4K |
| 99221 |
|
46 |
43 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
45 |
39 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
25 |
25 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
38 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$109.98 |
| 0502F |
|
105 |
94 |
$0.00 |