| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
4,640 |
2,549 |
$272K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,715 |
1,620 |
$125K |
| Z1034 |
|
2,036 |
1,217 |
$110K |
| Z1032 |
|
200 |
200 |
$30K |
| 99215 |
Prolong outpt/office vis |
242 |
236 |
$30K |
| 59430 |
|
412 |
357 |
$26K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
40 |
$19K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
13 |
$16K |
| J3490 |
Unclassified drugs |
218 |
189 |
$14K |
| Z6500 |
|
93 |
93 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
52 |
$11K |
| 88141 |
|
198 |
138 |
$10K |
| 3351F |
|
58 |
58 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
51 |
51 |
$4K |
| 0500F |
|
37 |
37 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$1K |
| 90715 |
|
14 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$1K |
| Z6400 |
|
94 |
94 |
$718.42 |
| Z6304 |
|
41 |
41 |
$311.89 |
| Z6204 |
|
41 |
41 |
$311.89 |
| Z6406 |
|
41 |
41 |
$311.89 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
16 |
16 |
$29.38 |