| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,367 |
1,240 |
$47K |
| H1000 |
Prenatal care, at-risk assessment |
796 |
610 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
677 |
617 |
$15K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$11K |
| 99215 |
Prolong outpt/office vis |
199 |
186 |
$6K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,083 |
958 |
$3K |
| 59430 |
|
26 |
25 |
$932.08 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
12 |
12 |
$924.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
28 |
$633.65 |
| 3074F |
|
2,617 |
2,161 |
$50.00 |
| 81025 |
|
19 |
17 |
$37.41 |
| 3078F |
|
1,969 |
1,621 |
$0.00 |
| 1160F |
|
60 |
58 |
$0.00 |
| 3725F |
|
123 |
112 |
$0.00 |
| 1159F |
|
60 |
58 |
$0.00 |
| 1036F |
|
2,517 |
2,044 |
$0.00 |
| 3008F |
|
3,205 |
2,690 |
$0.00 |
| 1034F |
|
66 |
63 |
$0.00 |
| 1125F |
|
142 |
128 |
$0.00 |
| 3079F |
|
216 |
202 |
$0.00 |
| 1126F |
|
481 |
425 |
$0.00 |
| 0501F |
|
15 |
15 |
$0.00 |