| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,803 |
9,427 |
$1.03M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,202 |
1,103 |
$131K |
| 99205 |
Prolong outpt/office vis |
532 |
449 |
$100K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
10,008 |
6,216 |
$85K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
62 |
62 |
$52K |
| 76801 |
|
304 |
269 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
434 |
393 |
$26K |
| H1000 |
Prenatal care, at-risk assessment |
775 |
633 |
$23K |
| 81002 |
|
9,896 |
6,156 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
157 |
140 |
$18K |
| 58558 |
|
15 |
13 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
519 |
323 |
$15K |
| 59514 |
|
14 |
12 |
$13K |
| 99215 |
Prolong outpt/office vis |
61 |
51 |
$8K |
| 81025 |
|
1,442 |
1,213 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
138 |
$7K |
| 99385 |
|
14 |
13 |
$2K |
| 59430 |
|
13 |
12 |
$2K |
| 54150 |
|
32 |
28 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
34 |
$739.84 |
| 0503F |
|
13 |
12 |
$45.00 |