| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,579 |
1,562 |
$2.53M |
| 0500F |
|
2,044 |
2,024 |
$448K |
| H2000 |
Comprehensive multidisciplinary evaluation |
2,166 |
2,146 |
$347K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,452 |
4,108 |
$329K |
| 59510 |
|
202 |
202 |
$323K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,397 |
3,349 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,687 |
5,962 |
$230K |
| 59425 |
|
1,767 |
1,218 |
$126K |
| 59025 |
Fetal non-stress test |
2,862 |
1,962 |
$75K |
| Z1032 |
|
417 |
417 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
339 |
338 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,676 |
960 |
$36K |
| Z6500 |
|
259 |
259 |
$32K |
| 99236 |
Prolong inpt eval add15 m |
140 |
117 |
$20K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,486 |
1,425 |
$15K |
| Z1034 |
|
280 |
177 |
$14K |
| J3490 |
Unclassified drugs |
130 |
129 |
$10K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
74 |
69 |
$9K |
| 76830 |
Ultrasound, transvaginal |
75 |
75 |
$6K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
161 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
32 |
31 |
$2K |
| 97802 |
|
48 |
46 |
$757.37 |
| 96150 |
|
25 |
25 |
$444.38 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$406.08 |
| 81025 |
|
91 |
90 |
$281.96 |
| 99401 |
|
13 |
12 |
$222.18 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
14 |
14 |
$121.08 |
| Z6414 |
|
15 |
13 |
$113.55 |