| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
451 |
199 |
$42K |
| 0502F |
|
278 |
179 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
13 |
$13K |
| 59025 |
Fetal non-stress test |
192 |
122 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
15 |
$3K |
| 59430 |
|
25 |
12 |
$3K |
| 90686 |
|
49 |
27 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$655.08 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
21 |
13 |
$306.60 |
| 81002 |
|
32 |
13 |
$83.20 |