| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
6,636 |
4,202 |
$522K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
385 |
383 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,133 |
5,187 |
$210K |
| 59425 |
|
2,981 |
1,874 |
$201K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,307 |
1,158 |
$115K |
| H1000 |
Prenatal care, at-risk assessment |
677 |
656 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
990 |
768 |
$45K |
| 99215 |
Prolong outpt/office vis |
135 |
135 |
$20K |
| 59430 |
|
221 |
218 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
163 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
679 |
624 |
$12K |
| 59514 |
|
12 |
12 |
$9K |
| 99000 |
|
2,471 |
2,270 |
$7K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
163 |
151 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
397 |
351 |
$6K |
| 81025 |
|
1,404 |
1,368 |
$3K |
| 96127 |
|
580 |
515 |
$1K |
| 88150 |
|
57 |
57 |
$829.42 |
| 90686 |
|
31 |
31 |
$739.20 |
| 81000 |
|
677 |
476 |
$583.80 |
| 99070 |
|
122 |
122 |
$422.49 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$284.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
31 |
$167.71 |
| 81002 |
|
362 |
247 |
$40.13 |
| 0502F |
|
279 |
180 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
30 |
30 |
$0.00 |
| 3078F |
|
1,293 |
1,044 |
$0.00 |
| 3008F |
|
2,164 |
1,640 |
$0.00 |
| 3074F |
|
1,525 |
1,214 |
$0.00 |
| 3079F |
|
275 |
256 |
$0.00 |
| 3351F |
|
48 |
43 |
$0.00 |
| 3075F |
|
25 |
25 |
$0.00 |