| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,174 |
2,623 |
$254K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,766 |
1,949 |
$159K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
26 |
24 |
$29K |
| 81003 |
|
3,319 |
2,387 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
89 |
77 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
94 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$1K |
| 81025 |
|
92 |
81 |
$697.50 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
26 |
24 |
$564.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$54.53 |