| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,589 |
2,658 |
$221K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,536 |
1,865 |
$169K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
692 |
679 |
$58K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
50 |
42 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
306 |
123 |
$19K |
| 0500F |
|
244 |
234 |
$12K |
| 59025 |
Fetal non-stress test |
828 |
564 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
67 |
67 |
$6K |
| 90715 |
|
161 |
109 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
13 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
57 |
42 |
$1K |
| 90686 |
|
67 |
66 |
$1K |
| 0503F |
|
13 |
12 |
$1K |
| 54150 |
|
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
45 |
$618.23 |
| 81025 |
|
48 |
41 |
$269.01 |