| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
705 |
635 |
$868K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,602 |
1,414 |
$136K |
| 59510 |
|
51 |
42 |
$63K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
831 |
753 |
$60K |
| 99234 |
|
630 |
443 |
$52K |
| 59426 |
|
70 |
69 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,119 |
1,827 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
565 |
485 |
$22K |
| 0503F |
|
1,121 |
950 |
$13K |
| 0500F |
|
1,284 |
893 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
494 |
428 |
$12K |
| 54150 |
|
79 |
74 |
$11K |
| 99215 |
Prolong outpt/office vis |
364 |
240 |
$10K |
| 81002 |
|
5,716 |
4,634 |
$10K |
| 59425 |
|
32 |
32 |
$10K |
| 99218 |
|
110 |
83 |
$6K |
| 59430 |
|
931 |
781 |
$5K |
| 59025 |
Fetal non-stress test |
91 |
65 |
$3K |
| 88738 |
|
581 |
500 |
$2K |
| 99217 |
|
50 |
45 |
$2K |
| 82962 |
|
786 |
365 |
$2K |
| 87210 |
|
575 |
528 |
$2K |
| 99205 |
Prolong outpt/office vis |
71 |
52 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
27 |
$1K |
| 0502F |
|
1,265 |
1,091 |
$880.00 |
| 36416 |
|
359 |
201 |
$682.38 |
| 81025 |
|
118 |
98 |
$515.28 |
| 81003 |
|
12 |
12 |
$14.46 |
| 0501F |
|
4,492 |
3,245 |
$0.00 |