| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
3,199 |
2,297 |
$345K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,141 |
7,881 |
$306K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,518 |
4,497 |
$275K |
| 59430 |
|
2,061 |
1,735 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,794 |
2,693 |
$87K |
| 99215 |
Prolong outpt/office vis |
574 |
570 |
$72K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
38 |
38 |
$41K |
| 88141 |
|
657 |
379 |
$33K |
| 99070 |
|
1,636 |
1,601 |
$28K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
37 |
37 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
131 |
$11K |
| 81025 |
|
2,355 |
2,329 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
155 |
155 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
304 |
282 |
$6K |
| 3351F |
|
204 |
203 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
132 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
117 |
117 |
$3K |
| 58300 |
|
14 |
14 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
40 |
27 |
$2K |
| 58100 |
|
16 |
16 |
$1K |
| 90715 |
|
13 |
13 |
$508.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
94 |
$420.76 |
| 81002 |
|
27 |
26 |
$55.38 |
| 0500F |
|
110 |
110 |
$0.00 |