| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,355 |
1,225 |
$53K |
| 59426 |
|
46 |
46 |
$34K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
24 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
485 |
460 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
167 |
167 |
$11K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
13 |
12 |
$9K |
| 76801 |
|
134 |
128 |
$7K |
| 59430 |
|
43 |
43 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
138 |
126 |
$5K |
| 59025 |
Fetal non-stress test |
154 |
73 |
$4K |
| 81025 |
|
421 |
409 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
41 |
39 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
645 |
625 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
103 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$952.82 |
| 90715 |
|
27 |
27 |
$855.10 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$826.34 |
| 11981 |
|
15 |
14 |
$645.04 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$552.72 |
| 90686 |
|
32 |
31 |
$523.16 |
| 87210 |
|
12 |
12 |
$47.48 |