| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,276 |
6,818 |
$847K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,690 |
1,335 |
$151K |
| 99215 |
Prolong outpt/office vis |
980 |
713 |
$110K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
52 |
42 |
$54K |
| 81000 |
|
12,475 |
5,417 |
$45K |
| 76801 |
|
373 |
277 |
$40K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
2,479 |
1,865 |
$28K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
166 |
143 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
224 |
182 |
$22K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
907 |
511 |
$21K |
| 81025 |
|
2,322 |
1,825 |
$17K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
123 |
113 |
$11K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
346 |
253 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
54 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
38 |
26 |
$3K |
| 99220 |
|
14 |
13 |
$2K |
| 81002 |
|
466 |
263 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
17 |
12 |
$863.17 |
| 99070 |
|
18 |
12 |
$103.20 |
| 82962 |
|
20 |
13 |
$54.15 |