| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
3,702 |
2,220 |
$450K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
39 |
39 |
$67K |
| 54150 |
|
167 |
167 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
280 |
277 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
139 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$1K |
| 99459 |
|
158 |
148 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$744.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$520.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$108.55 |
| 0502F |
|
16 |
12 |
$0.00 |