| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,325 |
1,188 |
$277K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
24 |
$40K |
| 76830 |
Ultrasound, transvaginal |
306 |
293 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
372 |
355 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
231 |
231 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
68 |
$2K |
| 59430 |
|
13 |
12 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$411.96 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$411.96 |
| 36415 |
Collection of venous blood by venipuncture |
207 |
152 |
$258.84 |
| 99459 |
|
16 |
15 |
$150.15 |
| 81025 |
|
13 |
12 |
$51.15 |
| 81002 |
|
397 |
264 |
$0.00 |
| 0502F |
|
48 |
35 |
$0.00 |