| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,434 |
1,430 |
$499K |
| 59514 |
|
494 |
494 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,229 |
4,022 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,743 |
1,716 |
$110K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,042 |
2,034 |
$105K |
| Z1034 |
|
1,147 |
786 |
$62K |
| 59425 |
|
2,629 |
1,729 |
$50K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,796 |
1,194 |
$35K |
| 81002 |
|
4,888 |
3,349 |
$22K |
| 59025 |
Fetal non-stress test |
1,422 |
599 |
$10K |
| 57454 |
|
249 |
124 |
$8K |
| 99000 |
|
2,735 |
2,538 |
$8K |
| Z1032 |
|
39 |
39 |
$4K |
| Z6204 |
|
292 |
255 |
$4K |
| Z6406 |
|
277 |
241 |
$4K |
| Z6400 |
|
214 |
191 |
$3K |
| 58300 |
|
24 |
12 |
$2K |
| 81025 |
|
691 |
690 |
$2K |
| 99215 |
Prolong outpt/office vis |
48 |
48 |
$2K |
| Z6500 |
|
13 |
13 |
$2K |
| Z6304 |
|
77 |
65 |
$1K |
| Z6410 |
|
29 |
25 |
$726.72 |
| 58301 |
|
23 |
12 |
$526.04 |
| 76801 |
|
12 |
12 |
$515.90 |
| 90715 |
|
15 |
15 |
$338.58 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
13 |
13 |
$165.36 |
| 59430 |
|
12 |
12 |
$108.86 |
| 99243 |
|
13 |
13 |
$0.00 |