| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,819 |
1,849 |
$204K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
231 |
230 |
$134K |
| Z1034 |
|
1,561 |
1,007 |
$85K |
| J3490 |
Unclassified drugs |
544 |
484 |
$61K |
| 76801 |
|
580 |
563 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
412 |
341 |
$44K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
3,491 |
2,355 |
$35K |
| H2000 |
Comprehensive multidisciplinary evaluation |
203 |
198 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
655 |
580 |
$32K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
276 |
274 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
438 |
406 |
$22K |
| 97803 |
|
1,610 |
1,402 |
$22K |
| 99401 |
|
1,481 |
1,179 |
$21K |
| 96151 |
|
1,673 |
1,147 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
311 |
311 |
$17K |
| H1000 |
Prenatal care, at-risk assessment |
106 |
106 |
$16K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
838 |
553 |
$16K |
| Z6410 |
|
1,976 |
1,287 |
$15K |
| 59430 |
|
157 |
156 |
$11K |
| Z6304 |
|
1,270 |
826 |
$10K |
| 59025 |
Fetal non-stress test |
352 |
137 |
$8K |
| Z6400 |
|
524 |
328 |
$8K |
| Z1032 |
|
44 |
44 |
$7K |
| Z6406 |
|
739 |
556 |
$7K |
| Z6500 |
|
58 |
58 |
$7K |
| 90715 |
|
197 |
137 |
$7K |
| Z6204 |
|
671 |
576 |
$6K |
| 81025 |
|
1,241 |
1,217 |
$4K |
| 90656 |
|
135 |
111 |
$3K |
| 85018 |
|
921 |
905 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 82947 |
|
319 |
138 |
$1K |
| 96152 |
|
59 |
55 |
$904.96 |
| Z6308 |
|
97 |
94 |
$775.18 |
| Z6208 |
|
53 |
52 |
$578.36 |
| Z6414 |
|
39 |
39 |
$367.14 |