| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,927 |
4,089 |
$284K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
192 |
190 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,846 |
2,198 |
$97K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
567 |
550 |
$38K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
367 |
357 |
$38K |
| 81000 |
|
10,441 |
7,206 |
$31K |
| 59430 |
|
256 |
247 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
331 |
326 |
$20K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
284 |
277 |
$18K |
| 81025 |
|
2,581 |
2,459 |
$17K |
| 99000 |
|
1,224 |
1,185 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
210 |
206 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
92 |
$7K |
| 99385 |
|
76 |
76 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
339 |
318 |
$4K |
| 76801 |
|
13 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
12 |
$392.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$345.94 |
| S8301 |
Infection control supplies, not otherwise specified |
63 |
62 |
$305.44 |