| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,148 |
6,509 |
$437K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,159 |
977 |
$69K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
113 |
109 |
$67K |
| 0502F |
|
2,743 |
1,802 |
$64K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
743 |
695 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
852 |
819 |
$55K |
| 76801 |
|
415 |
372 |
$31K |
| 59430 |
|
270 |
258 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
200 |
186 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
361 |
340 |
$8K |
| 59514 |
|
14 |
12 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
47 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
327 |
281 |
$3K |
| 81025 |
|
557 |
505 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
72 |
63 |
$3K |
| 59025 |
Fetal non-stress test |
195 |
79 |
$2K |
| 99459 |
|
20 |
16 |
$220.80 |
| 99408 |
|
37 |
33 |
$75.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
85 |
73 |
$40.87 |