| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,405 |
8,407 |
$429K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
791 |
726 |
$422K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,689 |
1,616 |
$126K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,692 |
1,605 |
$100K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,246 |
1,210 |
$61K |
| 59430 |
|
792 |
740 |
$61K |
| 59514 |
|
98 |
94 |
$57K |
| 81002 |
|
14,111 |
9,066 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
786 |
766 |
$35K |
| 81025 |
|
3,309 |
3,083 |
$22K |
| 87210 |
|
2,815 |
2,686 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
156 |
148 |
$9K |
| 59025 |
Fetal non-stress test |
268 |
152 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
534 |
478 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
154 |
148 |
$3K |
| 90674 |
|
67 |
58 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
38 |
$478.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
58 |
$399.84 |
| 81003 |
|
83 |
70 |
$74.04 |
| 82948 |
|
15 |
12 |
$47.53 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
30 |
29 |
$0.00 |