| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,153 |
979 |
$1.32M |
| 59510 |
|
592 |
447 |
$614K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,868 |
1,363 |
$139K |
| 54150 |
|
592 |
520 |
$79K |
| 99235 |
|
497 |
363 |
$53K |
| 99215 |
Prolong outpt/office vis |
588 |
452 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,060 |
844 |
$31K |
| 76801 |
|
578 |
457 |
$29K |
| 99460 |
|
730 |
601 |
$29K |
| 59025 |
Fetal non-stress test |
950 |
379 |
$28K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
572 |
510 |
$27K |
| 99462 |
|
1,071 |
768 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
358 |
$21K |
| 81025 |
|
1,714 |
1,223 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
65 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
73 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
188 |
151 |
$2K |
| 0501F |
|
1,140 |
1,026 |
$2K |
| 0502F |
|
1,131 |
1,021 |
$2K |
| 0500F |
|
1,143 |
1,028 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
654 |
594 |
$1K |
| 81000 |
|
237 |
218 |
$444.82 |
| 0503F |
|
793 |
702 |
$70.00 |
| H0049 |
Alcohol and/or drug screening |
401 |
317 |
$0.00 |
| 99024 |
|
103 |
101 |
$0.00 |