| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,306 |
2,390 |
$109K |
| 59430 |
|
351 |
164 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
397 |
301 |
$25K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$9K |
| S0612 |
Annual gynecological examination, established patient |
254 |
238 |
$8K |
| S0610 |
Annual gynecological examination, new patient |
27 |
27 |
$4K |
| 81002 |
|
3,742 |
2,178 |
$3K |
| 99442 |
|
17 |
16 |
$947.96 |
| 88142 |
|
366 |
291 |
$519.48 |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$447.46 |
| 81025 |
|
143 |
117 |
$226.17 |
| T1001 |
Nursing assessment / evaluation |
41 |
38 |
$0.00 |
| 99429 |
|
41 |
38 |
$0.00 |