| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,931 |
37,135 |
$1.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,122 |
14,046 |
$529K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
8,531 |
6,239 |
$322K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,926 |
2,760 |
$308K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,730 |
4,692 |
$270K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
5,655 |
5,644 |
$253K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,834 |
4,773 |
$224K |
| Z1034 |
|
3,499 |
2,449 |
$204K |
| 76813 |
|
2,124 |
2,013 |
$141K |
| 59425 |
|
2,989 |
2,028 |
$134K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,335 |
2,255 |
$125K |
| 76801 |
|
2,055 |
2,021 |
$123K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,676 |
2,515 |
$100K |
| Z1032 |
|
577 |
577 |
$93K |
| J3490 |
Unclassified drugs |
1,086 |
968 |
$68K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
135 |
135 |
$54K |
| 81025 |
|
14,628 |
14,088 |
$48K |
| 58100 |
|
2,060 |
1,433 |
$45K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
3,666 |
3,281 |
$36K |
| Z6500 |
|
284 |
284 |
$35K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
593 |
592 |
$33K |
| H2000 |
Comprehensive multidisciplinary evaluation |
552 |
552 |
$29K |
| 57454 |
|
623 |
444 |
$26K |
| H1000 |
Prenatal care, at-risk assessment |
326 |
326 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
425 |
248 |
$19K |
| Z6400 |
|
950 |
948 |
$13K |
| 59430 |
|
260 |
242 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,067 |
855 |
$10K |
| 99201 |
|
245 |
194 |
$10K |
| 88150 |
|
2,490 |
2,487 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
221 |
214 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
127 |
127 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
426 |
422 |
$8K |
| 96156 |
|
1,474 |
1,470 |
$7K |
| 97803 |
|
1,181 |
1,178 |
$7K |
| 99401 |
|
1,380 |
1,377 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
105 |
73 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
518 |
518 |
$4K |
| 99243 |
|
66 |
66 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
118 |
89 |
$2K |
| 58300 |
|
27 |
26 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
29 |
28 |
$2K |
| S9452 |
Nutrition classes, non-physician provider, per session |
245 |
245 |
$2K |
| 99000 |
|
426 |
398 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
234 |
233 |
$1K |
| 96151 |
|
344 |
343 |
$1K |
| Z6410 |
|
162 |
162 |
$1K |
| Z6412 |
|
57 |
54 |
$877.85 |
| 97802 |
|
61 |
61 |
$551.75 |
| Z6406 |
|
53 |
53 |
$496.60 |
| 59025 |
Fetal non-stress test |
19 |
13 |
$444.64 |
| Z6204 |
|
50 |
50 |
$412.58 |
| Z6304 |
|
12 |
12 |
$93.88 |
| 0503F |
|
56 |
56 |
$25.23 |
| 96150 |
|
17 |
17 |
$0.00 |