| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,242 |
7,958 |
$452K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
189 |
179 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,804 |
1,544 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
475 |
432 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
134 |
$8K |
| 59430 |
|
91 |
91 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
95 |
90 |
$6K |
| 59025 |
Fetal non-stress test |
553 |
178 |
$5K |
| 99385 |
|
66 |
64 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
109 |
$4K |
| 99386 |
|
52 |
49 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
41 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
278 |
253 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
222 |
187 |
$3K |
| 90715 |
|
40 |
40 |
$1K |
| 90674 |
|
14 |
13 |
$264.55 |