| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,770 |
1,439 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,250 |
572 |
$123K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
42 |
26 |
$52K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
133 |
81 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
66 |
$6K |
| 0500F |
|
33 |
33 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
17 |
15 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
26 |
$682.64 |
| 99459 |
|
14 |
14 |
$204.68 |