| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
11,973 |
6,550 |
$702K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,005 |
995 |
$512K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,018 |
4,701 |
$283K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
14,608 |
8,569 |
$266K |
| 99215 |
Prolong outpt/office vis |
1,924 |
1,861 |
$242K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,742 |
4,367 |
$161K |
| 59430 |
|
1,088 |
1,084 |
$156K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,555 |
1,538 |
$135K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,602 |
2,010 |
$123K |
| 59514 |
|
239 |
238 |
$121K |
| Z1034 |
|
2,070 |
1,175 |
$113K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,855 |
1,801 |
$107K |
| 99223 |
Prolong inpt eval add15 m |
1,133 |
1,006 |
$95K |
| 59025 |
Fetal non-stress test |
7,019 |
2,886 |
$78K |
| Z1032 |
|
330 |
330 |
$47K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,668 |
2,136 |
$43K |
| Z6410 |
|
2,193 |
1,500 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
364 |
359 |
$32K |
| 99233 |
Prolong inpt eval add15 m |
682 |
527 |
$29K |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,526 |
1,463 |
$26K |
| 99000 |
|
3,736 |
3,572 |
$17K |
| 96152 |
|
752 |
711 |
$13K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
151 |
86 |
$11K |
| 96156 |
|
408 |
400 |
$7K |
| 81025 |
|
1,539 |
1,445 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
95 |
$6K |
| 99243 |
|
14 |
14 |
$712.23 |
| Z1038 |
|
12 |
12 |
$653.16 |
| Z6308 |
|
32 |
31 |
$485.99 |
| Z6414 |
|
30 |
29 |
$448.14 |
| Z6208 |
|
30 |
29 |
$448.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$435.53 |
| 85018 |
|
71 |
70 |
$67.46 |
| 81002 |
|
26 |
26 |
$53.09 |
| 99070 |
|
26 |
24 |
$0.00 |