| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,256 |
1,510 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,333 |
1,129 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
347 |
342 |
$28K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$10K |
| 81002 |
|
2,768 |
1,654 |
$8K |
| 76830 |
Ultrasound, transvaginal |
100 |
100 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
82 |
71 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
67 |
64 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
58 |
42 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
55 |
54 |
$3K |
| 59025 |
Fetal non-stress test |
57 |
40 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
36 |
36 |
$2K |
| 59430 |
|
13 |
13 |
$921.31 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$738.10 |
| 59051 |
|
13 |
12 |
$612.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
36 |
$561.10 |