| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
8,730 |
7,312 |
$531K |
| 59426 |
|
3,629 |
2,654 |
$249K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,784 |
1,597 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
244 |
213 |
$22K |
| 76830 |
Ultrasound, transvaginal |
135 |
125 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
102 |
89 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
141 |
130 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,073 |
1,825 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
46 |
40 |
$3K |
| 59430 |
|
31 |
28 |
$3K |
| 99459 |
|
153 |
137 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$2K |
| 99354 |
|
91 |
82 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
48 |
44 |
$1K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
73 |
61 |
$614.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
13 |
$486.91 |
| 90686 |
|
50 |
42 |
$376.21 |
| 81025 |
|
79 |
64 |
$332.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$229.35 |
| 85018 |
|
72 |
53 |
$129.54 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
101 |
86 |
$86.08 |
| 90715 |
|
16 |
14 |
$61.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
75 |
$44.03 |
| 96160 |
|
15 |
15 |
$23.59 |