| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
4,381 |
2,515 |
$250K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,318 |
3,041 |
$138K |
| 99215 |
Prolong outpt/office vis |
869 |
842 |
$77K |
| 59430 |
|
559 |
444 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
797 |
775 |
$25K |
| Z1034 |
|
434 |
255 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
240 |
240 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
25 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
117 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
428 |
422 |
$8K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
119 |
73 |
$7K |
| 76801 |
|
81 |
79 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
146 |
146 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
90 |
88 |
$4K |
| 0500F |
|
49 |
49 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$3K |
| 3351F |
|
25 |
25 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$2K |
| 81003 |
|
321 |
262 |
$593.64 |
| 90715 |
|
12 |
12 |
$445.58 |
| 99070 |
|
65 |
64 |
$444.62 |
| 99406 |
|
25 |
25 |
$257.75 |
| 81025 |
|
88 |
88 |
$238.61 |