| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,947 |
8,218 |
$385K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
345 |
288 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,024 |
2,280 |
$133K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,220 |
1,091 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
866 |
818 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
562 |
543 |
$37K |
| 81002 |
|
12,535 |
7,634 |
$29K |
| 59430 |
|
204 |
178 |
$17K |
| 81025 |
|
1,343 |
1,269 |
$8K |
| 76801 |
|
46 |
36 |
$3K |
| 99385 |
|
38 |
37 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$928.20 |
| 81050 |
|
484 |
449 |
$700.12 |