| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,844 |
12,678 |
$1.06M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
838 |
823 |
$64K |
| T1001 |
Nursing assessment / evaluation |
157 |
136 |
$25K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$21K |
| 99459 |
|
1,135 |
1,052 |
$21K |
| 59430 |
|
151 |
146 |
$20K |
| 99385 |
|
240 |
234 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
142 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
93 |
90 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
59 |
52 |
$2K |
| 58300 |
|
30 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
67 |
$945.17 |
| 99386 |
|
12 |
12 |
$901.40 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$817.13 |
| 90715 |
|
103 |
103 |
$35.40 |
| 36415 |
Collection of venous blood by venipuncture |
279 |
233 |
$31.20 |
| 0500F |
|
155 |
139 |
$0.32 |
| J7300 |
Intrauterine copper contraceptive (paragard) |
63 |
63 |
$0.00 |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
12 |
12 |
$0.00 |