| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
714 |
712 |
$377K |
| 59425 |
|
5,742 |
2,966 |
$348K |
| 59430 |
|
1,513 |
1,387 |
$101K |
| 3351F |
|
783 |
782 |
$37K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
727 |
366 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
524 |
517 |
$24K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
369 |
369 |
$19K |
| 99215 |
Prolong outpt/office vis |
107 |
107 |
$14K |
| 88141 |
|
239 |
150 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
161 |
$11K |
| 99000 |
|
1,984 |
1,932 |
$9K |
| 90715 |
|
40 |
40 |
$3K |
| 81025 |
|
477 |
469 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
125 |
104 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
147 |
145 |
$1K |
| 0500F |
|
12 |
12 |
$1K |
| 99401 |
|
48 |
42 |
$479.37 |
| 96156 |
|
64 |
57 |
$437.32 |
| 97803 |
|
26 |
25 |
$252.30 |