| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,620 |
1,569 |
$27K |
| 81025 |
|
726 |
679 |
$23K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,651 |
1,749 |
$22K |
| 81003 |
|
3,153 |
1,906 |
$21K |
| 87797 |
|
1,260 |
1,230 |
$15K |
| 87510 |
|
1,259 |
1,230 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,083 |
916 |
$11K |
| 99000 |
|
1,975 |
1,577 |
$11K |
| 87480 |
|
1,258 |
1,229 |
$10K |
| 96151 |
|
1,039 |
698 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
603 |
545 |
$8K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
979 |
765 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
307 |
293 |
$7K |
| 96158 |
|
351 |
254 |
$7K |
| 59425 |
|
235 |
150 |
$6K |
| 99215 |
Prolong outpt/office vis |
170 |
164 |
$5K |
| 99401 |
|
867 |
647 |
$5K |
| 97803 |
|
561 |
367 |
$5K |
| 96156 |
|
1,782 |
1,206 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
84 |
84 |
$3K |
| 59025 |
Fetal non-stress test |
233 |
97 |
$3K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
125 |
122 |
$2K |
| G9920 |
Screening performed and negative |
151 |
151 |
$2K |
| 59430 |
|
90 |
90 |
$1K |
| 99201 |
|
143 |
95 |
$1K |
| 76830 |
Ultrasound, transvaginal |
53 |
51 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
80 |
78 |
$1K |
| 96150 |
|
31 |
30 |
$818.65 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
49 |
48 |
$812.44 |
| 90715 |
|
61 |
61 |
$566.84 |
| S9452 |
Nutrition classes, non-physician provider, per session |
66 |
66 |
$415.90 |
| 97802 |
|
44 |
43 |
$408.29 |
| 90658 |
|
39 |
39 |
$344.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$276.22 |
| 85018 |
|
27 |
27 |
$234.55 |
| 96152 |
|
13 |
13 |
$210.25 |
| 96127 |
|
54 |
54 |
$42.31 |
| 99403 |
|
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
37 |
$0.00 |