| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,889 |
1,773 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,008 |
916 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,486 |
993 |
$113K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
52 |
52 |
$48K |
| 0502F |
|
205 |
144 |
$21K |
| 99205 |
Prolong outpt/office vis |
268 |
238 |
$20K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
163 |
154 |
$7K |
| 99236 |
Prolong inpt eval add15 m |
36 |
27 |
$4K |
| 59025 |
Fetal non-stress test |
125 |
96 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
14 |
$2K |
| 81003 |
|
699 |
296 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
72 |
54 |
$865.27 |
| 81002 |
|
161 |
137 |
$377.00 |
| 1036F |
|
18 |
16 |
$0.00 |