| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
8,759 |
6,206 |
$838K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,295 |
2,289 |
$283K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,424 |
3,192 |
$187K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
244 |
244 |
$182K |
| 99215 |
Prolong outpt/office vis |
666 |
660 |
$132K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
922 |
918 |
$110K |
| 76830 |
Ultrasound, transvaginal |
1,214 |
1,206 |
$108K |
| Z1034 |
|
1,295 |
952 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
796 |
787 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
377 |
$56K |
| 59430 |
|
406 |
403 |
$39K |
| J3490 |
Unclassified drugs |
276 |
270 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
505 |
486 |
$15K |
| 59514 |
|
13 |
13 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
101 |
101 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
66 |
66 |
$8K |
| 87802 |
|
685 |
677 |
$6K |
| 81025 |
|
823 |
817 |
$3K |
| Z1032 |
|
13 |
13 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
25 |
25 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
12 |
$1K |