| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
5,934 |
3,875 |
$301K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,511 |
1,693 |
$233K |
| 76830 |
Ultrasound, transvaginal |
1,828 |
1,514 |
$174K |
| 93976 |
|
314 |
265 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,177 |
838 |
$33K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
381 |
274 |
$32K |
| 0500F |
|
556 |
448 |
$30K |
| 59430 |
|
93 |
74 |
$13K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
219 |
172 |
$11K |
| 90715 |
|
332 |
217 |
$11K |
| 59025 |
Fetal non-stress test |
345 |
253 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
93 |
59 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
64 |
$6K |
| 0503F |
|
92 |
80 |
$6K |
| 82951 |
|
329 |
214 |
$5K |
| 81025 |
|
301 |
159 |
$3K |
| 90686 |
|
138 |
94 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
12 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
72 |
63 |
$1K |
| 90756 |
|
42 |
28 |
$741.30 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
13 |
$639.08 |
| 99459 |
|
31 |
28 |
$429.86 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
17 |
12 |
$380.16 |