| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
3,113 |
1,898 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,781 |
2,414 |
$114K |
| Z1034 |
|
1,121 |
659 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
584 |
580 |
$30K |
| 99215 |
Prolong outpt/office vis |
191 |
183 |
$24K |
| Z1032 |
|
114 |
114 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
27 |
27 |
$14K |
| Z6500 |
|
101 |
101 |
$13K |
| Z6410 |
|
728 |
488 |
$11K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
113 |
113 |
$3K |
| 88141 |
|
348 |
314 |
$3K |
| 59430 |
|
46 |
46 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
30 |
25 |
$2K |
| Z6404 |
|
57 |
55 |
$870.53 |
| Z6202 |
|
56 |
55 |
$855.39 |
| Z6302 |
|
55 |
54 |
$840.25 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
26 |
26 |
$658.58 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
17 |
13 |
$440.51 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$308.88 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
127 |
81 |
$183.32 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$68.90 |
| 0500F |
|
24 |
24 |
$0.00 |
| 3351F |
|
85 |
84 |
$0.00 |