| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
8,818 |
5,974 |
$485K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,218 |
2,914 |
$100K |
| 59410 |
|
106 |
92 |
$91K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
612 |
566 |
$82K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,111 |
1,026 |
$78K |
| 59430 |
|
437 |
392 |
$47K |
| 59515 |
|
61 |
42 |
$36K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
270 |
251 |
$21K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
21 |
21 |
$19K |
| 99385 |
|
258 |
224 |
$19K |
| 59514 |
|
18 |
14 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
100 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
192 |
185 |
$6K |
| 59025 |
Fetal non-stress test |
98 |
76 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
245 |
236 |
$3K |
| 99386 |
|
12 |
12 |
$1K |
| 99459 |
|
256 |
240 |
$1K |
| 99441 |
|
103 |
87 |
$1K |
| 58100 |
|
12 |
12 |
$878.35 |
| 81025 |
|
47 |
42 |
$206.99 |
| 0503F |
|
180 |
161 |
$125.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
14 |
$57.90 |
| 85018 |
|
19 |
17 |
$21.46 |
| 96127 |
|
32 |
31 |
$10.25 |