| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59025 |
Fetal non-stress test |
1,338 |
907 |
$7K |
| 59425 |
|
905 |
470 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,780 |
1,385 |
$6K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
162 |
157 |
$5K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,892 |
886 |
$4K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
546 |
413 |
$2K |
| 81025 |
|
2,675 |
2,192 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
284 |
282 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
113 |
85 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
139 |
93 |
$1K |
| 81000 |
|
4,258 |
2,270 |
$1K |
| 99236 |
Prolong inpt eval add15 m |
79 |
72 |
$784.98 |
| 99401 |
|
211 |
176 |
$601.33 |
| 59514 |
|
13 |
13 |
$599.19 |
| 99223 |
Prolong inpt eval add15 m |
104 |
94 |
$523.00 |
| 96156 |
|
460 |
371 |
$432.28 |
| 99222 |
Initial hospital care, per day, moderate complexity |
51 |
50 |
$424.56 |
| 97803 |
|
108 |
88 |
$309.48 |
| H2000 |
Comprehensive multidisciplinary evaluation |
15 |
15 |
$298.82 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$254.27 |
| 96151 |
|
186 |
147 |
$111.01 |
| 99235 |
|
121 |
104 |
$103.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$45.44 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
30 |
$37.60 |
| 87210 |
|
281 |
266 |
$17.44 |
| 96127 |
|
71 |
69 |
$5.29 |
| S0197 |
Prenatal vitamins, 30-day supply |
15 |
15 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
23 |
14 |
$0.00 |
| 97802 |
|
16 |
13 |
$0.00 |
| 99234 |
|
15 |
12 |
$0.00 |
| 96150 |
|
12 |
12 |
$0.00 |