| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,708 |
3,169 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
257 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
343 |
333 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
615 |
566 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
71 |
$876.56 |
| S0612 |
Annual gynecological examination, established patient |
272 |
239 |
$517.23 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
78 |
78 |
$253.30 |
| 59430 |
|
54 |
52 |
$201.36 |
| 81025 |
|
624 |
548 |
$113.68 |
| 81002 |
|
1,998 |
1,195 |
$84.85 |
| 87210 |
|
458 |
418 |
$19.20 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
16 |
15 |
$0.00 |