| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,303 |
6,641 |
$247K |
| 59425 |
|
2,628 |
1,548 |
$179K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,614 |
1,525 |
$179K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,034 |
1,949 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,372 |
1,321 |
$66K |
| Z1034 |
|
787 |
441 |
$43K |
| 99215 |
Prolong outpt/office vis |
281 |
279 |
$38K |
| H1000 |
Prenatal care, at-risk assessment |
130 |
130 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
166 |
162 |
$6K |
| 99000 |
|
1,740 |
1,578 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
49 |
49 |
$4K |
| 99243 |
|
61 |
61 |
$3K |
| 81002 |
|
1,743 |
1,293 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
56 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
85 |
42 |
$2K |
| 76801 |
|
16 |
15 |
$1K |
| 81025 |
|
185 |
184 |
$406.16 |
| 99002 |
|
31 |
31 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
21 |
$0.00 |