| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
6,675 |
3,907 |
$379K |
| 59425 |
|
6,380 |
4,638 |
$335K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,793 |
1,515 |
$81K |
| 81003 |
|
12,731 |
8,193 |
$19K |
| 81002 |
|
5,617 |
3,663 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
222 |
162 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
101 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
88 |
$2K |
| 85018 |
|
365 |
302 |
$210.13 |
| 36415 |
Collection of venous blood by venipuncture |
153 |
128 |
$105.00 |
| 59430 |
|
70 |
62 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
140 |
101 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
99 |
92 |
$0.00 |
| 90715 |
|
57 |
46 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41 |
41 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
32 |
26 |
$0.00 |
| 90756 |
|
39 |
28 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
28 |
25 |
$0.00 |
| 81025 |
|
14 |
13 |
$0.00 |