| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,531 |
3,499 |
$156K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
36 |
$21K |
| 81000 |
|
7,695 |
5,130 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
343 |
315 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
200 |
191 |
$12K |
| 81025 |
|
1,624 |
1,499 |
$9K |
| 59430 |
|
125 |
114 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
170 |
150 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
246 |
206 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
114 |
105 |
$5K |
| 87210 |
|
1,211 |
1,134 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
14 |
$682.45 |
| H1010 |
Non-medical family planning education, per session |
17 |
13 |
$106.14 |
| 83986 |
|
16 |
14 |
$29.95 |
| 96127 |
|
17 |
17 |
$0.00 |