| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
11,176 |
6,768 |
$572K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,113 |
1,594 |
$317K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,667 |
1,747 |
$210K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
165 |
138 |
$168K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,707 |
3,132 |
$100K |
| 59025 |
Fetal non-stress test |
2,147 |
1,280 |
$93K |
| 0500F |
|
1,680 |
1,384 |
$92K |
| 0503F |
|
797 |
628 |
$46K |
| 59430 |
|
313 |
235 |
$39K |
| 90715 |
|
894 |
660 |
$30K |
| H1000 |
Prenatal care, at-risk assessment |
1,213 |
995 |
$18K |
| 82951 |
|
1,071 |
743 |
$16K |
| 96127 |
|
495 |
360 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
192 |
154 |
$7K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
141 |
138 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
58 |
$4K |
| 90686 |
|
157 |
109 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
17 |
$1K |
| 81025 |
|
191 |
148 |
$1K |
| 54150 |
|
13 |
13 |
$1K |
| 90756 |
|
53 |
35 |
$880.85 |
| 96160 |
|
16 |
16 |
$233.60 |