| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59514 |
|
76 |
76 |
$1K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
64 |
63 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
14 |
14 |
$893.02 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
62 |
40 |
$60.48 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,085 |
850 |
$24.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
58 |
58 |
$0.00 |
| 81002 |
|
26 |
25 |
$0.00 |
| 81025 |
|
73 |
72 |
$0.00 |
| 88147 |
|
39 |
39 |
$0.00 |
| 59425 |
|
88 |
63 |
$0.00 |
| 99221 |
|
13 |
13 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$0.00 |