| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,731 |
3,360 |
$168K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,395 |
1,389 |
$111K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
134 |
133 |
$100K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,584 |
2,576 |
$55K |
| 99385 |
|
246 |
246 |
$24K |
| 59426 |
|
26 |
26 |
$20K |
| 81002 |
|
6,781 |
4,073 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
137 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
3,116 |
2,707 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
900 |
885 |
$8K |
| 59430 |
|
25 |
25 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
34 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
302 |
302 |
$2K |
| 57454 |
|
13 |
13 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
40 |
40 |
$842.45 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
40 |
40 |
$842.45 |
| 87081 |
|
14 |
14 |
$27.45 |