| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0724 |
|
158 |
158 |
$457K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
4,927 |
2,537 |
$270K |
| 99417 |
Prolong home eval add 15m |
928 |
728 |
$103K |
| 97803 |
|
4,110 |
2,144 |
$96K |
| 59430 |
|
1,759 |
1,094 |
$95K |
| H1000 |
Prenatal care, at-risk assessment |
515 |
515 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,601 |
1,022 |
$49K |
| 99205 |
Prolong outpt/office vis |
444 |
443 |
$33K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
50 |
50 |
$21K |
| 99000 |
|
6,071 |
3,155 |
$20K |
| 36410 |
|
1,963 |
1,743 |
$20K |
| 59051 |
|
286 |
190 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
264 |
164 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,274 |
884 |
$12K |
| 97802 |
|
428 |
428 |
$12K |
| 81002 |
|
6,018 |
3,191 |
$12K |
| 99221 |
|
219 |
144 |
$4K |
| 97113 |
|
55 |
55 |
$4K |
| 99461 |
|
64 |
64 |
$4K |
| 59414 |
|
38 |
38 |
$3K |
| 99464 |
|
52 |
52 |
$2K |
| 99091 |
|
86 |
85 |
$2K |
| 99201 |
|
17 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$504.00 |
| 96127 |
|
152 |
94 |
$476.19 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$326.48 |
| 94760 |
|
74 |
55 |
$289.90 |
| 99056 |
|
47 |
25 |
$67.50 |