| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,632 |
24,256 |
$1.93M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,250 |
4,151 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,783 |
1,644 |
$160K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
53 |
51 |
$85K |
| T1001 |
Nursing assessment / evaluation |
279 |
276 |
$50K |
| 99459 |
|
1,679 |
1,540 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
349 |
346 |
$26K |
| 59430 |
|
164 |
157 |
$22K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
107 |
107 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
146 |
117 |
$7K |
| 99401 |
|
156 |
154 |
$4K |
| 99385 |
|
25 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 54150 |
|
14 |
14 |
$837.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
771 |
767 |
$742.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$665.48 |
| 90715 |
|
663 |
654 |
$328.33 |
| 81002 |
|
38 |
38 |
$62.03 |
| 81025 |
|
15 |
15 |
$23.28 |
| 0500F |
|
246 |
233 |
$0.75 |
| 0503F |
|
12 |
12 |
$0.05 |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
25 |
25 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
18 |
16 |
$0.00 |
| G9920 |
Screening performed and negative |
28 |
27 |
$0.00 |