| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,303 |
23,020 |
$3.77M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
59 |
33 |
$55K |
| 59430 |
|
871 |
674 |
$3K |
| 0502F |
|
13,680 |
6,590 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,962 |
7,707 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,640 |
2,231 |
$363.30 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,137 |
2,482 |
$291.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,345 |
6,567 |
$76.95 |
| 76830 |
Ultrasound, transvaginal |
1,143 |
970 |
$71.90 |
| 0500F |
|
2,163 |
1,632 |
$44.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
223 |
140 |
$38.64 |
| 59025 |
Fetal non-stress test |
822 |
424 |
$33.70 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,540 |
1,956 |
$0.00 |
| 76801 |
|
869 |
754 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
294 |
188 |
$0.00 |
| 58300 |
|
17 |
14 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
120 |
53 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
160 |
141 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,303 |
1,050 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
404 |
361 |
$0.00 |
| TELEH |
Telehealth inpt pharm mgmt |
34 |
19 |
$0.00 |
| 99242 |
|
17 |
17 |
$0.00 |