| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
148 |
148 |
$73K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,083 |
1,075 |
$31K |
| 59514 |
|
40 |
40 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
622 |
612 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
78 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
754 |
580 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
84 |
84 |
$134.66 |
| 99442 |
|
12 |
12 |
$94.11 |
| 99000 |
|
17 |
14 |
$18.15 |
| 1158F |
|
434 |
340 |
$0.00 |
| 3078F |
|
518 |
398 |
$0.00 |
| 81002 |
|
366 |
255 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
45 |
45 |
$0.00 |
| 3074F |
|
635 |
468 |
$0.00 |
| 1126F |
|
516 |
409 |
$0.00 |
| 3351F |
|
671 |
505 |
$0.00 |
| 0501F |
|
472 |
313 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
45 |
45 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
27 |
$0.00 |
| 3079F |
|
55 |
43 |
$0.00 |