| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,395 |
1,395 |
$704K |
| Z1034 |
|
8,703 |
5,688 |
$483K |
| 59514 |
|
1,123 |
1,120 |
$416K |
| Z1032 |
|
1,247 |
1,247 |
$181K |
| J3490 |
Unclassified drugs |
1,586 |
1,392 |
$154K |
| Z6500 |
|
1,092 |
1,092 |
$135K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,381 |
1,197 |
$127K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,091 |
963 |
$67K |
| Z6410 |
|
3,821 |
2,211 |
$58K |
| Z6400 |
|
4,035 |
3,211 |
$47K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
908 |
893 |
$45K |
| Z6406 |
|
2,932 |
2,173 |
$44K |
| Z6204 |
|
4,420 |
3,172 |
$39K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
200 |
200 |
$37K |
| 58740 |
|
185 |
185 |
$33K |
| Z6304 |
|
3,987 |
2,661 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
399 |
372 |
$20K |
| 81025 |
|
5,288 |
5,112 |
$18K |
| Z1038 |
|
282 |
282 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
196 |
187 |
$9K |
| Z6414 |
|
586 |
519 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
56 |
$9K |
| 99401 |
|
1,398 |
1,225 |
$7K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,807 |
1,427 |
$7K |
| Z6208 |
|
608 |
526 |
$5K |
| Z6308 |
|
590 |
520 |
$5K |
| A4267 |
Contraceptive supply, condom, male, each |
404 |
404 |
$4K |
| Z6412 |
|
344 |
302 |
$4K |
| 59025 |
Fetal non-stress test |
352 |
101 |
$2K |
| 99000 |
|
663 |
662 |
$2K |
| 58300 |
|
23 |
12 |
$2K |
| 99402 |
|
51 |
51 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,520 |
1,297 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
57 |
26 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$338.40 |
| 97803 |
|
1,837 |
1,341 |
$260.75 |
| Z6402 |
|
14 |
14 |
$212.10 |
| Z6300 |
|
14 |
14 |
$212.10 |
| Z6200 |
|
14 |
14 |
$212.10 |
| H2000 |
Comprehensive multidisciplinary evaluation |
151 |
150 |
$116.82 |
| 97802 |
|
1,023 |
762 |
$100.92 |
| S9452 |
Nutrition classes, non-physician provider, per session |
217 |
200 |
$58.87 |
| 96156 |
|
569 |
481 |
$16.82 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
40 |
40 |
$0.00 |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
49 |
45 |
$0.00 |
| 96151 |
|
111 |
91 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
186 |
186 |
$0.00 |
| 96152 |
|
16 |
14 |
$0.00 |