| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,611 |
2,797 |
$270K |
| Z1034 |
|
2,684 |
2,017 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,421 |
2,214 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,225 |
2,224 |
$117K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
623 |
490 |
$101K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
254 |
250 |
$100K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,437 |
1,913 |
$94K |
| J3490 |
Unclassified drugs |
782 |
680 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,659 |
1,620 |
$58K |
| Z1032 |
|
382 |
382 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
453 |
405 |
$46K |
| 76801 |
|
470 |
440 |
$26K |
| Z6500 |
|
114 |
114 |
$14K |
| 99215 |
Prolong outpt/office vis |
166 |
163 |
$11K |
| H1000 |
Prenatal care, at-risk assessment |
114 |
114 |
$10K |
| 99205 |
Prolong outpt/office vis |
130 |
130 |
$9K |
| 81025 |
|
1,608 |
1,596 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
121 |
107 |
$8K |
| 99000 |
|
1,400 |
1,374 |
$7K |
| 99401 |
|
310 |
308 |
$6K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
406 |
406 |
$5K |
| 11976 |
|
53 |
27 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
55 |
55 |
$3K |
| 81002 |
|
396 |
350 |
$3K |
| Z6410 |
|
171 |
164 |
$2K |
| 76830 |
Ultrasound, transvaginal |
46 |
45 |
$2K |
| Z6400 |
|
87 |
84 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
282 |
282 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
76 |
74 |
$1K |
| 99243 |
|
21 |
21 |
$843.28 |
| Z1038 |
|
13 |
13 |
$713.04 |
| 59425 |
|
16 |
13 |
$677.32 |
| 99201 |
|
119 |
94 |
$491.27 |
| 59430 |
|
12 |
12 |
$423.34 |
| Z6302 |
|
14 |
14 |
$311.13 |
| Z6202 |
|
14 |
14 |
$295.99 |
| Z6404 |
|
12 |
12 |
$250.57 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
27 |
$215.06 |
| Z6200 |
|
13 |
13 |
$196.95 |
| Z6300 |
|
13 |
13 |
$196.95 |
| Z6402 |
|
13 |
13 |
$196.95 |
| Z6204 |
|
13 |
12 |
$181.68 |
| 59426 |
|
69 |
67 |
$62.11 |
| 81000 |
|
16 |
12 |
$19.52 |
| 99024 |
|
201 |
189 |
$0.00 |
| 59840 |
|
79 |
40 |
$0.00 |