| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
4,063 |
2,900 |
$387K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
352 |
352 |
$267K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,874 |
1,781 |
$159K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
884 |
879 |
$97K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
762 |
760 |
$93K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,142 |
1,097 |
$59K |
| Z1034 |
|
295 |
213 |
$16K |
| 76830 |
Ultrasound, transvaginal |
185 |
183 |
$16K |
| 99215 |
Prolong outpt/office vis |
72 |
72 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
64 |
$10K |
| 59514 |
|
12 |
12 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
70 |
70 |
$9K |
| J3490 |
Unclassified drugs |
74 |
74 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
41 |
41 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
130 |
126 |
$4K |
| 58300 |
|
21 |
12 |
$2K |
| 59430 |
|
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$791.78 |
| 81025 |
|
211 |
210 |
$693.51 |
| 82270 |
|
50 |
50 |
$119.00 |