| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,462 |
1,727 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,782 |
1,324 |
$60K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
379 |
365 |
$38K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
82 |
71 |
$38K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
254 |
237 |
$17K |
| 81002 |
|
3,336 |
2,054 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
100 |
$8K |
| 99234 |
|
92 |
73 |
$8K |
| 59430 |
|
79 |
79 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
392 |
328 |
$5K |
| 76801 |
|
43 |
42 |
$4K |
| 81025 |
|
81 |
75 |
$547.98 |