| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,748 |
1,780 |
$267K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
209 |
209 |
$151K |
| 59514 |
|
167 |
159 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,517 |
1,423 |
$111K |
| 99215 |
Prolong outpt/office vis |
226 |
226 |
$55K |
| 90832 |
Psychotherapy, 30 minutes with patient |
830 |
777 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
271 |
266 |
$30K |
| J3490 |
Unclassified drugs |
220 |
220 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
132 |
132 |
$17K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
435 |
419 |
$13K |
| 58740 |
|
26 |
26 |
$11K |
| 59025 |
Fetal non-stress test |
209 |
122 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
415 |
410 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
183 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
134 |
123 |
$8K |
| 59430 |
|
81 |
81 |
$8K |
| 90715 |
|
177 |
176 |
$6K |
| 81025 |
|
1,277 |
1,230 |
$6K |
| 99401 |
|
330 |
300 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$3K |
| 97802 |
|
122 |
111 |
$2K |
| 97803 |
|
171 |
157 |
$2K |
| 96150 |
|
110 |
103 |
$2K |
| 96151 |
|
147 |
140 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
29 |
29 |
$302.76 |
| 96152 |
|
27 |
26 |
$243.89 |
| 85018 |
|
88 |
88 |
$228.67 |
| S9452 |
Nutrition classes, non-physician provider, per session |
24 |
24 |
$203.52 |
| 81003 |
|
58 |
46 |
$135.98 |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$0.00 |