| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,644 |
1,670 |
$222K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
985 |
768 |
$53K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
28 |
28 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
326 |
302 |
$14K |
| 59425 |
|
102 |
65 |
$7K |
| 59430 |
|
35 |
32 |
$3K |
| 81003 |
|
1,270 |
787 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 99000 |
|
287 |
280 |
$835.72 |
| 81025 |
|
217 |
210 |
$569.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$363.17 |
| 88150 |
|
28 |
27 |
$219.82 |