| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,211 |
1,211 |
$1.50M |
| H1000 |
Prenatal care, at-risk assessment |
1,900 |
1,898 |
$321K |
| Z1034 |
|
5,475 |
3,358 |
$299K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
4,140 |
2,640 |
$197K |
| Z1032 |
|
1,108 |
1,108 |
$170K |
| Z6500 |
|
1,093 |
1,093 |
$135K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
1,905 |
1,903 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,803 |
2,572 |
$58K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
77 |
77 |
$36K |
| 97803 |
|
1,133 |
1,130 |
$28K |
| 99215 |
Prolong outpt/office vis |
214 |
214 |
$24K |
| S9452 |
Nutrition classes, non-physician provider, per session |
785 |
785 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,119 |
963 |
$18K |
| 59510 |
|
13 |
12 |
$18K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,052 |
2,051 |
$18K |
| Z6400 |
|
1,104 |
1,103 |
$17K |
| 99000 |
|
6,583 |
6,275 |
$16K |
| 59425 |
|
386 |
235 |
$14K |
| H2000 |
Comprehensive multidisciplinary evaluation |
918 |
918 |
$13K |
| G9012 |
Other specified case management service not elsewhere classified |
142 |
114 |
$13K |
| 96127 |
|
3,375 |
3,369 |
$10K |
| 96156 |
|
1,586 |
1,584 |
$9K |
| J7301 |
Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg |
12 |
12 |
$9K |
| 99401 |
|
1,023 |
1,021 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
205 |
205 |
$8K |
| 97802 |
|
557 |
556 |
$5K |
| 87110 |
|
2,535 |
2,507 |
$4K |
| 88141 |
|
711 |
709 |
$3K |
| 96151 |
|
351 |
350 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,047 |
2,040 |
$2K |
| Z6304 |
|
134 |
134 |
$2K |
| Z6406 |
|
134 |
134 |
$2K |
| Z6204 |
|
134 |
134 |
$2K |
| Z1038 |
|
37 |
37 |
$2K |
| 81025 |
|
903 |
887 |
$2K |
| 59426 |
|
14 |
14 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
181 |
181 |
$1K |
| 99201 |
|
61 |
39 |
$1K |
| 96152 |
|
158 |
158 |
$1K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
15 |
14 |
$903.82 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
551 |
550 |
$877.83 |
| 58300 |
|
12 |
12 |
$841.10 |
| 59430 |
|
13 |
13 |
$719.55 |
| Z6414 |
|
26 |
26 |
$393.64 |
| Z6208 |
|
26 |
26 |
$393.64 |
| Z6308 |
|
26 |
26 |
$393.64 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
15 |
14 |
$100.84 |
| 86580 |
|
15 |
15 |
$47.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$12.00 |
| 86901 |
|
1,481 |
1,481 |
$2.46 |
| 80055 |
|
1,487 |
1,487 |
$2.00 |
| 86900 |
|
1,488 |
1,486 |
$0.00 |
| 76801 |
|
1,480 |
1,480 |
$0.00 |
| 86762 |
|
51 |
51 |
$0.00 |