| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,084 |
2,056 |
$117K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
39 |
37 |
$20K |
| 81002 |
|
4,042 |
1,861 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
56 |
$4K |
| 59430 |
|
42 |
38 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
42 |
$3K |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
16 |
13 |
$0.00 |
| 1036F |
|
16 |
13 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
16 |
13 |
$0.00 |