| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
3,020 |
1,903 |
$170K |
| 59426 |
|
2,037 |
824 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,898 |
1,361 |
$66K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
60 |
53 |
$44K |
| 59430 |
|
304 |
245 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
178 |
146 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
240 |
181 |
$15K |
| 81002 |
|
5,308 |
2,601 |
$12K |
| 99354 |
|
274 |
209 |
$10K |
| 81025 |
|
973 |
783 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
108 |
$5K |
| 76830 |
Ultrasound, transvaginal |
34 |
27 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
24 |
$436.88 |