| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,334 |
2,610 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,877 |
1,304 |
$86K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
112 |
112 |
$64K |
| 59514 |
|
72 |
71 |
$47K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
538 |
530 |
$47K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
358 |
353 |
$37K |
| 59430 |
|
286 |
277 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,085 |
1,013 |
$21K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
179 |
177 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
152 |
150 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
130 |
129 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
91 |
$5K |
| 76830 |
Ultrasound, transvaginal |
54 |
54 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
114 |
114 |
$5K |
| 99235 |
|
27 |
24 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
179 |
177 |
$2K |
| CP002 |
|
145 |
104 |
$1K |