| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,206 |
1,417 |
$74K |
| 76830 |
Ultrasound, transvaginal |
523 |
484 |
$49K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
412 |
410 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
401 |
401 |
$27K |
| 81025 |
|
1,353 |
1,300 |
$10K |
| 81002 |
|
2,930 |
2,050 |
$8K |
| 59514 |
|
13 |
12 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
339 |
300 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$7K |
| 59430 |
|
57 |
55 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
52 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
134 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
18 |
$977.11 |
| 87210 |
|
152 |
152 |
$368.99 |