| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
9,771 |
6,805 |
$942K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
681 |
680 |
$468K |
| Z1034 |
|
6,236 |
4,200 |
$358K |
| 59514 |
|
583 |
570 |
$340K |
| Z1032 |
|
1,198 |
1,197 |
$168K |
| H1000 |
Prenatal care, at-risk assessment |
978 |
976 |
$165K |
| 59430 |
|
1,218 |
1,101 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,322 |
1,285 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
380 |
380 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
830 |
814 |
$53K |
| 76801 |
|
622 |
568 |
$49K |
| 58300 |
|
314 |
163 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
308 |
308 |
$32K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
215 |
214 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
263 |
232 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
236 |
236 |
$17K |
| 59425 |
|
222 |
133 |
$15K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$13K |
| 59025 |
Fetal non-stress test |
314 |
131 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
160 |
156 |
$8K |
| Z1038 |
|
118 |
118 |
$6K |
| 76813 |
|
37 |
37 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
121 |
$4K |
| Z6400 |
|
104 |
66 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$3K |
| 57454 |
|
15 |
13 |
$2K |
| 81025 |
|
504 |
499 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
39 |
36 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31 |
12 |
$1K |
| 58301 |
|
16 |
13 |
$896.87 |
| 99221 |
|
20 |
18 |
$787.20 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$582.82 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
12 |
12 |
$420.50 |
| Z6404 |
|
41 |
41 |
$311.89 |
| Z6202 |
|
41 |
41 |
$311.89 |
| Z6302 |
|
40 |
40 |
$304.32 |