| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
347 |
347 |
$709K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,184 |
3,929 |
$703K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,126 |
1,126 |
$195K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,526 |
1,526 |
$128K |
| 90651 |
|
359 |
359 |
$89K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,140 |
1,139 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,557 |
1,546 |
$29K |
| 0012A |
|
158 |
158 |
$7K |
| 0011A |
|
160 |
160 |
$7K |
| 90674 |
|
301 |
301 |
$7K |
| 81025 |
|
959 |
953 |
$6K |
| 90715 |
|
43 |
43 |
$1K |
| 90686 |
|
122 |
122 |
$1K |
| 58300 |
|
13 |
13 |
$1K |
| 99441 |
|
86 |
86 |
$896.30 |
| 85018 |
|
316 |
310 |
$758.35 |
| 81002 |
|
240 |
206 |
$641.44 |
| 82270 |
|
12 |
12 |
$38.76 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
13 |
13 |
$0.00 |