| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,330 |
4,198 |
$190K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
25 |
25 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
139 |
139 |
$13K |
| 59025 |
Fetal non-stress test |
284 |
204 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
159 |
158 |
$9K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
316 |
316 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
114 |
109 |
$6K |
| 81025 |
|
856 |
838 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
200 |
$5K |
| 76801 |
|
26 |
26 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$932.54 |
| 99407 |
|
25 |
19 |
$398.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$93.94 |
| 99459 |
|
28 |
27 |
$4.71 |
| 99072 |
|
147 |
142 |
$0.00 |
| 0500F |
|
51 |
50 |
$0.00 |