| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,214 |
10,039 |
$640K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,544 |
1,622 |
$200K |
| 59425 |
|
2,450 |
1,657 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,325 |
1,679 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
924 |
693 |
$36K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
24 |
$17K |
| 97811 |
|
178 |
103 |
$10K |
| 76830 |
Ultrasound, transvaginal |
149 |
110 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
141 |
106 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
125 |
93 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
32 |
32 |
$7K |
| 99215 |
Prolong outpt/office vis |
42 |
41 |
$6K |
| 97810 |
|
404 |
198 |
$6K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
556 |
387 |
$5K |
| J3490 |
Unclassified drugs |
46 |
46 |
$4K |
| 59430 |
|
31 |
31 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
84 |
$2K |
| H2000 |
Comprehensive multidisciplinary evaluation |
12 |
12 |
$2K |
| 99401 |
|
113 |
97 |
$2K |
| 97802 |
|
73 |
73 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
41 |
$796.09 |
| 81025 |
|
146 |
143 |
$527.52 |
| 96150 |
|
26 |
26 |
$429.16 |
| 96156 |
|
12 |
12 |
$201.96 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
15 |
15 |
$126.15 |
| Z6200 |
|
12 |
12 |
$0.00 |
| Z6300 |
|
12 |
12 |
$0.00 |
| Z1034 |
|
2,589 |
1,862 |
$0.00 |