| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,044 |
904 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
337 |
308 |
$18K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$12K |
| 59425 |
|
17 |
17 |
$5K |
| 81025 |
|
668 |
610 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
207 |
$3K |
| 90686 |
|
91 |
90 |
$2K |
| 76830 |
Ultrasound, transvaginal |
31 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$1K |
| 90715 |
|
15 |
15 |
$589.96 |
| 96127 |
|
290 |
275 |
$432.60 |