| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
3,239 |
1,921 |
$194K |
| Z1034 |
|
1,727 |
1,014 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,151 |
1,071 |
$42K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
476 |
413 |
$31K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
55 |
55 |
$28K |
| 99070 |
|
2,328 |
1,858 |
$23K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
290 |
241 |
$12K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
217 |
216 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
84 |
80 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
148 |
$9K |
| 99215 |
Prolong outpt/office vis |
91 |
87 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
99 |
$7K |
| 59430 |
|
63 |
55 |
$4K |
| 59025 |
Fetal non-stress test |
338 |
129 |
$3K |
| Z6410 |
|
375 |
250 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
128 |
125 |
$2K |
| Z1032 |
|
16 |
16 |
$2K |
| Z6500 |
|
13 |
13 |
$2K |
| 88141 |
|
28 |
26 |
$1K |
| 0500F |
|
13 |
13 |
$1K |
| 3351F |
|
26 |
26 |
$975.00 |
| 87110 |
|
40 |
39 |
$680.13 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$255.52 |
| Z6400 |
|
13 |
13 |
$193.04 |
| Z6204 |
|
12 |
12 |
$93.88 |
| Z6304 |
|
12 |
12 |
$93.88 |
| 81025 |
|
12 |
12 |
$33.24 |