| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,150 |
963 |
$42K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
19 |
12 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
111 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
81 |
$5K |
| 76830 |
Ultrasound, transvaginal |
73 |
67 |
$3K |
| 81025 |
|
466 |
418 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
19 |
19 |
$993.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
44 |
$593.72 |
| 0500F |
|
13 |
13 |
$120.00 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
29 |
$39.15 |
| 0502F |
|
1,029 |
650 |
$20.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
32 |
28 |
$0.00 |