| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,980 |
4,433 |
$238K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
255 |
253 |
$146K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
831 |
800 |
$48K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
755 |
737 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
459 |
434 |
$34K |
| 59430 |
|
313 |
303 |
$27K |
| 81002 |
|
7,167 |
4,657 |
$18K |
| 81025 |
|
1,421 |
1,340 |
$9K |
| 87210 |
|
1,199 |
1,159 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
54 |
$4K |
| 59025 |
Fetal non-stress test |
99 |
62 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
72 |
65 |
$725.47 |
| 90674 |
|
17 |
17 |
$455.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$129.73 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.00 |