| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
52 |
52 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
811 |
586 |
$20K |
| 59514 |
|
102 |
101 |
$16K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
560 |
547 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,759 |
3,909 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
473 |
464 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
440 |
395 |
$991.48 |
| 58100 |
|
144 |
144 |
$704.50 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$685.57 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
157 |
157 |
$639.72 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,177 |
1,177 |
$179.65 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
171 |
171 |
$150.00 |
| 81025 |
|
764 |
706 |
$146.04 |
| 96156 |
|
55 |
54 |
$33.30 |
| 99072 |
|
24 |
24 |
$0.00 |