| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,187 |
2,617 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,164 |
723 |
$50K |
| 99236 |
Prolong inpt eval add15 m |
320 |
269 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
986 |
857 |
$21K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
293 |
286 |
$20K |
| 99000 |
|
1,062 |
1,027 |
$10K |
| 76801 |
|
118 |
115 |
$10K |
| 81002 |
|
3,551 |
1,999 |
$9K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
15 |
15 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
151 |
146 |
$7K |
| 81025 |
|
653 |
631 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
317 |
310 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
27 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20 |
12 |
$1K |