| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
1,450 |
874 |
$126K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
32 |
32 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
236 |
198 |
$14K |
| 99401 |
|
634 |
508 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
140 |
$6K |
| 99215 |
Prolong outpt/office vis |
32 |
32 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
55 |
55 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
59 |
$4K |
| 99460 |
|
43 |
43 |
$2K |
| H2000 |
Comprehensive multidisciplinary evaluation |
13 |
13 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
126 |
96 |
$2K |
| 59430 |
|
18 |
18 |
$2K |
| 97802 |
|
32 |
29 |
$420.50 |
| 99462 |
|
13 |
12 |
$360.36 |
| 96150 |
|
13 |
12 |
$185.02 |
| 90670 |
|
15 |
15 |
$135.00 |
| 90698 |
|
15 |
15 |
$135.00 |