| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
5,731 |
4,003 |
$343K |
| 99215 |
Prolong outpt/office vis |
1,096 |
1,005 |
$109K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
75 |
75 |
$40K |
| 99205 |
Prolong outpt/office vis |
221 |
221 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
181 |
177 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
496 |
465 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
221 |
205 |
$10K |
| 59430 |
|
149 |
149 |
$9K |
| 0500F |
|
27 |
27 |
$2K |
| 88141 |
|
44 |
27 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
53 |
53 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$975.00 |
| 99233 |
Prolong inpt eval add15 m |
14 |
12 |
$634.76 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12 |
12 |
$449.04 |
| 81025 |
|
42 |
40 |
$116.34 |
| 99000 |
|
27 |
19 |
$96.93 |