| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,244 |
5,074 |
$247K |
| 99000 |
|
2,232 |
2,006 |
$22K |
| 99235 |
|
113 |
101 |
$18K |
| 59025 |
Fetal non-stress test |
464 |
229 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
286 |
276 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
14 |
$8K |
| 59430 |
|
28 |
24 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$887.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
70 |
$547.93 |
| 90715 |
|
13 |
13 |
$456.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$95.64 |
| 36415 |
Collection of venous blood by venipuncture |
158 |
153 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
18 |
$0.00 |
| 0502F |
|
559 |
321 |
$0.00 |