| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 58662 |
|
1,173 |
1,074 |
$415K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,072 |
920 |
$166K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,958 |
2,289 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,243 |
1,057 |
$56K |
| 58120 |
|
757 |
668 |
$48K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
42 |
37 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
476 |
404 |
$15K |
| 59514 |
|
14 |
12 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
62 |
54 |
$3K |
| 76801 |
|
40 |
38 |
$3K |
| 81002 |
|
3,404 |
2,678 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,502 |
1,340 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
32 |
30 |
$3K |
| 81025 |
|
368 |
326 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
18 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
27 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$1K |
| 81003 |
|
843 |
742 |
$1K |
| 99201 |
|
29 |
27 |
$626.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
36 |
$103.33 |