| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
3,704 |
2,224 |
$405K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
923 |
888 |
$46K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
215 |
215 |
$15K |
| 81025 |
|
319 |
309 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,400 |
1,229 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
57 |
$2K |
| 99459 |
|
203 |
186 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
29 |
29 |
$995.57 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
29 |
29 |
$995.57 |
| 0502F |
|
40 |
28 |
$0.00 |