| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,037 |
2,366 |
$385K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
45 |
44 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
744 |
599 |
$72K |
| 81003 |
|
3,894 |
3,003 |
$58K |
| 81025 |
|
1,699 |
1,635 |
$45K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
363 |
286 |
$36K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
85 |
84 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
58 |
$12K |
| 87210 |
|
137 |
134 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
35 |
35 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$3K |
| H0049 |
Alcohol and/or drug screening |
269 |
253 |
$3K |
| 85027 |
|
13 |
13 |
$430.43 |