| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
52,261 |
45,019 |
$13.37M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
298 |
295 |
$322K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,703 |
20,267 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,796 |
1,748 |
$1K |
| G9920 |
Screening performed and negative |
434 |
417 |
$286.53 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
147 |
$64.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
705 |
692 |
$54.80 |
| 3008F |
|
939 |
935 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
289 |
269 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
28 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
324 |
315 |
$0.00 |
| 59025 |
Fetal non-stress test |
710 |
492 |
$0.00 |
| 80306 |
|
398 |
382 |
$0.00 |
| 80305 |
|
1,208 |
1,163 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
573 |
569 |
$0.00 |
| 81003 |
|
27 |
27 |
$0.00 |
| 81025 |
|
1,113 |
1,084 |
$0.00 |
| 81002 |
|
530 |
470 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
533 |
530 |
$0.00 |
| 86703 |
|
12 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
12 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |
| 90715 |
|
52 |
52 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |