| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
43,062 |
31,699 |
$6.28M |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
7,124 |
6,204 |
$587K |
| 59425 |
|
3,706 |
3,270 |
$305K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,240 |
6,474 |
$188K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
515 |
500 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
696 |
385 |
$17K |
| H1000 |
Prenatal care, at-risk assessment |
78 |
78 |
$14K |
| H2000 |
Comprehensive multidisciplinary evaluation |
706 |
624 |
$11K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
609 |
548 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
771 |
424 |
$11K |
| 96156 |
|
359 |
308 |
$9K |
| 96151 |
|
308 |
217 |
$9K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
208 |
176 |
$4K |
| 99401 |
|
136 |
136 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
482 |
448 |
$2K |
| 99402 |
|
66 |
66 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
31 |
16 |
$1K |
| 85018 |
|
586 |
418 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
541 |
527 |
$936.63 |
| 99460 |
|
528 |
521 |
$778.80 |
| 96150 |
|
28 |
28 |
$538.49 |
| 59025 |
Fetal non-stress test |
32 |
13 |
$423.16 |
| 81002 |
|
305 |
169 |
$394.90 |
| 90686 |
|
12 |
12 |
$238.91 |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
14 |
14 |
$228.20 |
| 81025 |
|
136 |
83 |
$198.19 |
| 81000 |
|
65 |
63 |
$188.32 |
| Z6414 |
|
538 |
463 |
$0.00 |
| Z6400 |
|
157 |
157 |
$0.00 |
| Z6300 |
|
156 |
156 |
$0.00 |
| Z6304 |
|
66 |
56 |
$0.00 |
| Z1032 |
|
128 |
128 |
$0.00 |
| Z1034 |
|
7,086 |
6,241 |
$0.00 |
| Z6402 |
|
156 |
156 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$0.00 |
| 99462 |
|
16 |
12 |
$0.00 |