| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
5,678 |
4,349 |
$311K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,349 |
5,331 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,175 |
4,051 |
$189K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
233 |
233 |
$99K |
| 59514 |
|
378 |
374 |
$95K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,825 |
2,062 |
$93K |
| Z1032 |
|
577 |
577 |
$89K |
| Z6500 |
|
585 |
585 |
$72K |
| Z6400 |
|
1,882 |
1,813 |
$33K |
| 81025 |
|
10,280 |
9,986 |
$30K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
766 |
571 |
$25K |
| 99000 |
|
8,347 |
7,714 |
$24K |
| Z6410 |
|
1,033 |
971 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
97 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
261 |
257 |
$13K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,027 |
949 |
$10K |
| 76830 |
Ultrasound, transvaginal |
206 |
205 |
$9K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
975 |
941 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
165 |
163 |
$6K |
| 99215 |
Prolong outpt/office vis |
164 |
161 |
$5K |
| 96156 |
|
1,122 |
1,106 |
$5K |
| Z1038 |
|
66 |
66 |
$4K |
| Z6204 |
|
276 |
271 |
$3K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$3K |
| H2000 |
Comprehensive multidisciplinary evaluation |
177 |
176 |
$2K |
| 76801 |
|
42 |
42 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
15 |
$2K |
| J3490 |
Unclassified drugs |
23 |
13 |
$2K |
| 99401 |
|
382 |
380 |
$2K |
| Z6406 |
|
178 |
178 |
$2K |
| Z6304 |
|
185 |
184 |
$2K |
| 97803 |
|
279 |
276 |
$2K |
| 59430 |
|
43 |
43 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
22 |
$1K |
| 59425 |
|
91 |
70 |
$1K |
| 85018 |
|
265 |
250 |
$781.60 |
| S9452 |
Nutrition classes, non-physician provider, per session |
165 |
165 |
$735.84 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$659.94 |
| Z6412 |
|
31 |
24 |
$629.16 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
15 |
15 |
$537.88 |
| 59025 |
Fetal non-stress test |
48 |
30 |
$520.72 |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
36 |
36 |
$356.80 |
| Z6208 |
|
28 |
28 |
$310.37 |
| Z6414 |
|
28 |
28 |
$302.80 |
| Z6308 |
|
28 |
28 |
$242.24 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$112.96 |
| 99459 |
|
50 |
50 |
$53.63 |
| 36415 |
Collection of venous blood by venipuncture |
1,365 |
1,283 |
$7.00 |