| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
515 |
381 |
$16K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
128 |
127 |
$9K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
16 |
13 |
$8K |
| 82044 |
|
831 |
641 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
79 |
$4K |
| 59430 |
|
36 |
36 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
147 |
144 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
86 |
$2K |
| 81025 |
|
234 |
231 |
$2K |
| 81003 |
|
825 |
636 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
68 |
67 |
$762.67 |