| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
913 |
583 |
$50K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
177 |
172 |
$33K |
| 59425 |
|
2,718 |
1,713 |
$30K |
| 59514 |
|
51 |
51 |
$12K |
| Z6400 |
|
474 |
393 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
681 |
600 |
$8K |
| Z6500 |
|
49 |
49 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
850 |
629 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
170 |
129 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
512 |
$4K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,070 |
851 |
$3K |
| H2000 |
Comprehensive multidisciplinary evaluation |
299 |
292 |
$2K |
| 99215 |
Prolong outpt/office vis |
161 |
160 |
$2K |
| Z6406 |
|
230 |
195 |
$2K |
| Z1032 |
|
13 |
13 |
$2K |
| 87510 |
|
1,503 |
1,364 |
$2K |
| J3490 |
Unclassified drugs |
47 |
30 |
$2K |
| 87660 |
|
1,503 |
1,364 |
$2K |
| 87480 |
|
1,503 |
1,364 |
$2K |
| 81002 |
|
4,920 |
3,248 |
$2K |
| 99401 |
|
1,029 |
862 |
$1K |
| 59430 |
|
109 |
91 |
$1K |
| 97803 |
|
500 |
472 |
$1K |
| 96151 |
|
564 |
493 |
$937.24 |
| S9452 |
Nutrition classes, non-physician provider, per session |
419 |
366 |
$913.70 |
| 96152 |
|
488 |
406 |
$876.70 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
312 |
283 |
$870.81 |
| 81025 |
|
1,008 |
897 |
$840.93 |
| Z6304 |
|
47 |
40 |
$448.15 |
| 59025 |
Fetal non-stress test |
30 |
12 |
$225.72 |
| Z6204 |
|
13 |
13 |
$152.16 |
| Z6308 |
|
15 |
13 |
$130.21 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
34 |
$77.04 |
| 87210 |
|
12 |
12 |
$19.86 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
836 |
568 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
97 |
$0.00 |
| 90688 |
|
31 |
30 |
$0.00 |
| 90715 |
|
45 |
45 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
15 |
15 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
29 |
29 |
$0.00 |