| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,374 |
4,326 |
$312K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
849 |
848 |
$225K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,396 |
2,329 |
$178K |
| Z1034 |
|
2,818 |
1,830 |
$154K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
186 |
186 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,409 |
6,106 |
$74K |
| 76813 |
|
1,331 |
1,263 |
$64K |
| Z1032 |
|
373 |
373 |
$56K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
286 |
286 |
$52K |
| Z6500 |
|
405 |
405 |
$50K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
553 |
552 |
$36K |
| 58300 |
|
201 |
183 |
$32K |
| 59510 |
|
128 |
128 |
$30K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
41 |
41 |
$23K |
| 59514 |
|
58 |
58 |
$21K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,217 |
822 |
$20K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,811 |
2,592 |
$17K |
| J3490 |
Unclassified drugs |
235 |
191 |
$16K |
| Z6400 |
|
1,110 |
1,024 |
$14K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
1,713 |
1,654 |
$13K |
| H2000 |
Comprehensive multidisciplinary evaluation |
1,211 |
1,201 |
$12K |
| 81025 |
|
2,906 |
2,871 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
634 |
613 |
$8K |
| Z6410 |
|
432 |
338 |
$4K |
| Z6204 |
|
301 |
280 |
$4K |
| Z6406 |
|
388 |
339 |
$4K |
| 99000 |
|
769 |
766 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
4,471 |
3,995 |
$2K |
| 97803 |
|
1,883 |
1,784 |
$1K |
| 96151 |
|
629 |
599 |
$789.04 |
| Z6304 |
|
84 |
84 |
$651.78 |
| H1000 |
Prenatal care, at-risk assessment |
25 |
25 |
$125.05 |
| 96156 |
|
1,606 |
1,583 |
$108.29 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
189 |
189 |
$101.87 |
| S9452 |
Nutrition classes, non-physician provider, per session |
893 |
886 |
$91.63 |
| 99401 |
|
1,886 |
1,707 |
$33.31 |
| 88150 |
|
24 |
24 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$0.00 |
| 99459 |
|
44 |
44 |
$0.00 |
| 96152 |
|
160 |
159 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
3,612 |
3,608 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$0.00 |
| 59425 |
|
26 |
12 |
$0.00 |