| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
8,926 |
5,681 |
$765K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,608 |
4,282 |
$188K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
801 |
796 |
$95K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
88 |
87 |
$60K |
| 99205 |
Prolong outpt/office vis |
281 |
277 |
$44K |
| 99385 |
|
224 |
222 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
104 |
104 |
$12K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
248 |
247 |
$8K |
| 59430 |
|
78 |
77 |
$6K |
| 87081 |
|
910 |
901 |
$5K |
| J3490 |
Unclassified drugs |
25 |
25 |
$3K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
39 |
24 |
$2K |
| 99386 |
|
14 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
60 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
53 |
$1K |
| 81025 |
|
205 |
202 |
$571.78 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
13 |
$423.04 |
| 81002 |
|
30 |
29 |
$66.35 |
| 81003 |
|
59 |
52 |
$2.25 |
| 88141 |
|
14 |
14 |
$0.00 |