| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,028 |
3,542 |
$322K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
969 |
929 |
$37K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
48 |
48 |
$28K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
187 |
184 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
129 |
124 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
166 |
148 |
$10K |
| 81025 |
|
1,133 |
1,077 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
387 |
375 |
$5K |
| 59430 |
|
40 |
37 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
41 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90674 |
|
32 |
26 |
$369.39 |
| 81002 |
|
83 |
81 |
$199.75 |